SUSAN RENEE EVANS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127362

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

RENEE

Last Name

EVANS

Business Name

SUSAN RENEE EVANS

Original Issue Date

09/10/1999

Effective Date

09/10/1999

Expiration Date

03/31/2001

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

10/21/2005