SUZANNE MARIE MATHIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131092

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

MARIE

Last Name

MATHIS

Business Name

SUZANNE MARIE MATHIS

Original Issue Date

06/07/2000

Effective Date

04/11/2017

Expiration Date

03/31/2018

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

06/19/2018