SUSAN KAY UPHOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165400

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

KAY

Last Name

UPHOFF

Business Name

SUSAN KAY UPHOFF

Original Issue Date

10/03/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

EUREKA

State

Zip

61530

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/14/2007