SUSAN D WALLACE GOOD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201580

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

WALLACE GOOD

Business Name

SUSAN D WALLACE GOOD

Original Issue Date

11/16/2010

Effective Date

03/24/2014

Expiration Date

03/31/2015

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/06/2015