SUSAN A SHORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080757

License Status

NOT RENEWED

Business

First Name

SUSAN A

Last Name

SHORT

Business Name

SUSAN A SHORT

Original Issue Date

02/26/1985

Effective Date

02/26/1985

Expiration Date

03/31/1992

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005