SUSAN RENEE EVANS - Pharmacist License in Illinois | # 049127362

SUSAN RENEE EVANS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127362

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005