SUSAN L DOCKER Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071330

License Status

CANCELLED

Business

First Name

SUSAN L

Last Name

DOCKER

Business Name

SUSAN L DOCKER

Original Issue Date

06/15/1979

Effective Date

06/15/1979

Expiration Date

03/31/1984

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005