SUSAN R DAUGHERTY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099787

License Status

NOT RENEWED

Business

First Name

SUSAN R

Last Name

DAUGHERTY

Business Name

SUSAN R DAUGHERTY

Original Issue Date

04/01/1992

Effective Date

04/01/1992

Expiration Date

03/31/1995

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005