SUSAN KAY DOELLMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138597

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

KAY

Last Name

DOELLMAN

Business Name

SUSAN KAY DOELLMAN

Original Issue Date

10/05/2001

Effective Date

03/05/2018

Expiration Date

03/31/2019

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

07/15/2019