SUSAN L BAUER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049090916

License Status

INACTIVE

Business

First Name

SUSAN L

Last Name

BAUER

Business Name

SUSAN L BAUER

Original Issue Date

08/15/1989

Effective Date

03/24/2011

Expiration Date

03/31/2012

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

01/12/2012