SUSAN K. PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249604

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

PARK

Business Name

SUSAN K. PARK

Original Issue Date

04/03/2017

Effective Date

04/03/2017

Expiration Date

03/31/2018

City

RUSHVILLE

State

Zip

62681

County

SCHUYLER

Ever Disciplined

LastModifiedDate

06/19/2018