SUSAN MARIE RODATZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145414

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARIE

Last Name

RODATZ

Business Name

SUSAN MARIE RODATZ

Original Issue Date

10/18/2002

Effective Date

10/18/2002

Expiration Date

03/31/2005

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005