SUSAN M SAMMONS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146158

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

SAMMONS

Business Name

SUSAN M SAMMONS

Original Issue Date

12/02/2002

Effective Date

12/02/2002

Expiration Date

03/31/2005

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005