SUSAN M NOAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067930

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

NOAK

Business Name

SUSAN M NOAK

Original Issue Date

08/19/1977

Effective Date

08/19/1977

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005