SUSAN KAE SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074883

License Status

NOT RENEWED

Business

First Name

SUSAN KAE

Last Name

SHAW

Business Name

SUSAN KAE SHAW

Original Issue Date

07/02/1981

Effective Date

07/02/1981

Expiration Date

03/31/1984

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/17/2005