SUSAN ANN BUSHUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193761

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ANN

Last Name

BUSHUE

Business Name

SUSAN ANN BUSHUE

Original Issue Date

08/20/2009

Effective Date

03/10/2010

Expiration Date

03/31/2011

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/12/2011