SUSAN DANIELLE PAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122859

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

DANIELLE

Last Name

PAGE

Business Name

SUSAN DANIELLE PAGE

Original Issue Date

09/24/1998

Effective Date

09/24/1998

Expiration Date

03/31/2000

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005