CHEYENNE DENISE SUTHERLAND-ITZEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132698

License Status

NOT RENEWED

Business

First Name

CHEYENNE

Middle

DENISE

Last Name

SUTHERLAND-ITZEN

Business Name

CHEYENNE DENISE SUTHERLAND-ITZEN

Original Issue Date

09/15/2000

Effective Date

09/15/2000

Expiration Date

03/31/2005

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005