SUSAN J MIRACLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232935

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

MIRACLE

Prefix

Business Name

SUSAN J MIRACLE

Original Issue Date

05/08/2015

Effective Date

02/03/2016

Expiration Date

03/31/2017

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017