SUSAN L STOUDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123560

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

STOUDT

Business Name

SUSAN L STOUDT

Original Issue Date

10/30/1998

Effective Date

10/30/1998

Expiration Date

03/31/2001

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/21/2005