Susan D Wallace Good
InactiveIllinois license 049201580
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049201580
- Status
- Inactive
- First issued
- November 16, 2010
- Expired
- March 31, 2015
- License holder
- Susan D Wallace Good
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/24/2014
Other Illinois licenses under this name
-
IL
ExpiredDecatur, ILExpired Sep 30, 1993
Contact
Champaign, IL 61822
Champaign County