SUSAN B MENDENALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125564

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

MENDENALL

Business Name

SUSAN B MENDENALL

Original Issue Date

04/22/1999

Effective Date

03/30/2012

Expiration Date

03/31/2013

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/06/2013