SUSAN M SHEPARD Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065490

License Status

CANCELLED

Business

First Name

SUSAN M

Last Name

SHEPARD

Business Name

SUSAN M SHEPARD

Original Issue Date

06/04/1976

Effective Date

06/04/1976

Expiration Date

01/01/1997

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005