SUSAN L KERKSICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141701

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

KERKSICK

Business Name

SUSAN L KERKSICK

Original Issue Date

04/08/2002

Effective Date

04/08/2002

Expiration Date

03/31/2003

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005