SUSAN E WILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098258

License Status

NOT RENEWED

Business

First Name

SUSAN E

Last Name

WILLIS

Business Name

SUSAN E WILLIS

Original Issue Date

10/04/1991

Effective Date

03/12/2009

Expiration Date

03/31/2010

City

VIRDEN

State

Zip

62690

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/04/2010