SUSAN MARIE COOK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196500

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARIE

Last Name

COOK

Business Name

SUSAN MARIE COOK

Original Issue Date

01/28/2010

Effective Date

03/03/2011

Expiration Date

03/31/2012

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/07/2012