SUSAN V PEDERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049090064

License Status

NOT RENEWED

Business

First Name

SUSAN V

Last Name

PEDERSEN

Business Name

SUSAN V PEDERSEN

Original Issue Date

05/19/1989

Effective Date

05/19/1989

Expiration Date

03/31/1997

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005