SUSAN GILLISON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068684

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

GILLISON

Business Name

SUSAN GILLISON

Original Issue Date

01/13/1978

Effective Date

01/13/1978

Expiration Date

01/01/1997

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005