SUSAN M IVERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157130

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

IVERSON

Business Name

SUSAN M IVERSON

Original Issue Date

09/03/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/14/2007