CARRIE SUSANNE WOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127120

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

SUSANNE

Last Name

WOOD

Business Name

CARRIE SUSANNE WOOD

Original Issue Date

08/23/1999

Effective Date

08/23/1999

Expiration Date

03/31/2000

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005