SUSAN L CROCKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087736

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

CROCKER

Business Name

SUSAN L CROCKER

Original Issue Date

09/03/1988

Effective Date

09/03/1988

Expiration Date

03/31/2004

City

GRANT PARK

State

Zip

60940

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/20/2005