SUSAN M NOLTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085790

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

NOLTE

Business Name

SUSAN M NOLTE

Original Issue Date

12/29/1987

Effective Date

12/29/1987

Expiration Date

03/31/1991

City

TAYLOR RIDGE

State

Zip

61284

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005