SUSAN L BOKHOLDT - Pharmacist License in Illinois | # 049139459

SUSAN L BOKHOLDT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139459

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

L

Last Name

BOKHOLDT

Business Name

SUSAN L BOKHOLDT

Original Issue Date

12/03/2001

Effective Date

12/03/2001

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005