SUSAN R BALSANO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197907

License Status

NOT RENEWED

Business

First Name

SUSAN R

Last Name

BALSANO

Business Name

SUSAN R BALSANO

Original Issue Date

04/19/2010

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

07/27/2022