SUSAN ELLEN VANCE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114145

License Status

NOT RENEWED

Business

First Name

SUSAN ELLEN

Last Name

VANCE

Business Name

SUSAN ELLEN VANCE

Original Issue Date

05/02/1996

Effective Date

03/30/2015

Expiration Date

03/31/2016

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

05/20/2016