SUSAN M KLEIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104691

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

KLEIN

Business Name

SUSAN M KLEIN

Original Issue Date

10/04/1993

Effective Date

10/04/1993

Expiration Date

03/31/2000

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/21/2005