SUSAN C TILLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103710

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

TILLY

Business Name

SUSAN C TILLY

Original Issue Date

06/14/1993

Effective Date

06/14/1993

Expiration Date

03/31/1998

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005