SUSAN E BEVILL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079004

License Status

NOT RENEWED

Business

First Name

SUSAN E

Last Name

BEVILL

Business Name

SUSAN E BEVILL

Original Issue Date

10/04/1983

Effective Date

10/04/1983

Expiration Date

03/31/2001

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005