SUSAN E WARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153390

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

WARD

Business Name

SUSAN E WARD

Original Issue Date

03/01/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/02/2008