SUSAN A FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099273

License Status

NOT RENEWED

Business

First Name

SUSAN A

Last Name

FORD

Business Name

SUSAN A FORD

Original Issue Date

02/03/1992

Effective Date

02/03/1992

Expiration Date

03/31/2005

City

SEATON

State

Zip

61476

County

MERCER

Ever Disciplined

LastModifiedDate

10/20/2005