SUSAN K FANSLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096424

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

FANSLER

Business Name

SUSAN K FANSLER

Original Issue Date

04/05/1991

Effective Date

04/05/1991

Expiration Date

03/31/2001

City

HENRY

State

Zip

61537

County

MARSHALL

Ever Disciplined

LastModifiedDate

10/21/2005