SUSAN DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071069

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

DAVIS

Business Name

SUSAN DAVIS

Original Issue Date

04/27/1979

Effective Date

04/27/1979

Expiration Date

03/31/1994

City

OAK LAWN

State

Zip

60453

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005