SUSAN R SOUDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130058

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

SOUDER

Business Name

SUSAN R SOUDER

Original Issue Date

03/17/2000

Effective Date

03/17/2014

Expiration Date

03/31/2015

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2015