SUSAN R DISMORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109754

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

DISMORE

Business Name

SUSAN R DISMORE

Original Issue Date

03/09/1995

Effective Date

03/09/1995

Expiration Date

03/31/1996

City

MOUNT VERNON

State

Zip

62864

Ever Disciplined

LastModifiedDate

10/17/2005