SUSANNE MARIE ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121834

License Status

NOT RENEWED

Business

First Name

SUSANNE

Middle

MARIE

Last Name

ANDERSON

Business Name

SUSANNE MARIE ANDERSON

Original Issue Date

06/30/1998

Effective Date

03/28/2018

Expiration Date

03/31/2019

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/15/2019