SUSAN R BRACKEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077126

License Status

NOT RENEWED

Business

First Name

SUSAN R

Last Name

BRACKEN

Business Name

SUSAN R BRACKEN

Original Issue Date

10/15/1982

Effective Date

10/15/1982

Expiration Date

03/31/1984

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005