SUSAN JANE GEBHARDT Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064968

License Status

CANCELLED

Business

First Name

SUSAN JANE

Last Name

GEBHARDT

Business Name

SUSAN JANE GEBHARDT

Original Issue Date

03/05/1976

Effective Date

03/05/1976

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005