SUSAN A SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066204

License Status

NOT RENEWED

Business

First Name

SUSAN A

Last Name

SMITH

Business Name

SUSAN A SMITH

Original Issue Date

10/01/1976

Effective Date

10/01/1976

Expiration Date

01/01/1997

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005