SUSAN K FENTEM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081094

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

FENTEM

Business Name

SUSAN K FENTEM

Original Issue Date

06/12/1985

Effective Date

06/12/1985

Expiration Date

03/31/1986

City

MOLINE

State

Zip

61265

Ever Disciplined

LastModifiedDate

10/17/2005