SUSAN COLLEEN LEE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119598

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

COLLEEN

Last Name

LEE

Business Name

SUSAN COLLEEN LEE

Original Issue Date

12/16/1997

Effective Date

12/16/1997

Expiration Date

03/31/1999

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005