SUSAN E WARMERDAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096105

License Status

NOT RENEWED

Business

First Name

SUSAN E

Last Name

WARMERDAM

Business Name

SUSAN E WARMERDAM

Original Issue Date

03/16/1991

Effective Date

03/16/1991

Expiration Date

03/31/1993

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005