SUZAN ELIZABETH KETTLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124993

License Status

NOT RENEWED

Business

First Name

SUZAN

Middle

ELIZABETH

Last Name

KETTLE

Business Name

SUZAN ELIZABETH KETTLE

Original Issue Date

03/11/1999

Effective Date

03/11/1999

Expiration Date

03/31/2001

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005