SUSAN JEAN CHUPORAK - Pharmacist License in Illinois | # 049070457

SUSAN JEAN CHUPORAK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070457

License Status

NOT RENEWED

Business

N

First Name

SUSAN JEAN

Last Name

CHUPORAK

Business Name

SUSAN JEAN CHUPORAK

Original Issue Date

12/08/1978

Effective Date

12/08/1978

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005