SUSAN CLAVENNA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077581

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

CLAVENNA

Business Name

SUSAN CLAVENNA

Original Issue Date

12/27/1982

Effective Date

03/02/2023

Expiration Date

03/31/2024

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/03/2025