SUSAN ELAINE FANG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053587

License Status

NOT RENEWED

Business

First Name

SUSAN ELAINE

Last Name

FANG

Business Name

SUSAN ELAINE FANG

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005