SUSAN L STOUDT - Pharmacist License in Illinois | # 049123560

SUSAN L STOUDT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123560

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

L

Last Name

STOUDT

Business Name

SUSAN L STOUDT

Original Issue Date

10/30/1998

Effective Date

10/30/1998

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005