SUSAN ANN AMENT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149139

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ANN

Last Name

AMENT

Business Name

SUSAN ANN AMENT

Original Issue Date

06/24/2003

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

MAPLE PARK

State

Zip

60151

County

KANE

Ever Disciplined

LastModifiedDate

07/27/2022