SUSAN J GOETZKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289229

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

GOETZKE

Business Name

SUSAN J GOETZKE

Original Issue Date

11/19/2002

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2007