SUSAN J LAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179928

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

LAYNE

Business Name

SUSAN J LAYNE

Original Issue Date

10/15/2007

Effective Date

03/18/2015

Expiration Date

03/31/2016

City

MANITO

State

Zip

61546

County

MASON

Ever Disciplined

LastModifiedDate

05/20/2016