SUSAN DEBORAH IVERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138691

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

DEBORAH

Last Name

IVERSON

Business Name

SUSAN DEBORAH IVERSON

Original Issue Date

10/15/2001

Effective Date

03/30/2017

Expiration Date

03/31/2018

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018