SUSAN E HETZEL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221555

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

HETZEL

Prefix

Business Name

SUSAN E HETZEL

Original Issue Date

10/21/2013

Effective Date

10/21/2013

Expiration Date

03/31/2014

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

01/09/2014