SUSAN Y MASARETH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051295437

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

MASARETH

Business Name

SUSAN Y MASARETH

Original Issue Date

10/07/2011

Effective Date

03/02/2012

Expiration Date

03/31/2014

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2014