SUSAN R SIRVAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192549

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

SIRVAS

Business Name

SUSAN R SIRVAS

Original Issue Date

06/23/2009

Effective Date

06/23/2009

Expiration Date

03/31/2010

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

05/04/2010