SUSAN M IVERSON - Pharmacist License in Illinois | # 049157130

SUSAN M IVERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157130

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

M

Last Name

IVERSON

Business Name

SUSAN M IVERSON

Original Issue Date

09/03/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007