SUSAN MARY BLUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136273

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARY

Last Name

BLUE

Business Name

SUSAN MARY BLUE

Original Issue Date

05/14/2001

Effective Date

03/11/2022

Expiration Date

03/31/2023

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2023