SUSAN M BOUSKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038730

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

BOUSKA

Business Name

SUSAN M BOUSKA

Original Issue Date

12/11/1991

Effective Date

12/11/1991

Expiration Date

03/31/1992

City

CHANUTE AFB

State

Zip

61868

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005