SUSAN M BODNAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152230

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

BODNAR

Business Name

SUSAN M BODNAR

Original Issue Date

11/21/2003

Effective Date

02/15/2018

Expiration Date

03/31/2019

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/15/2019