SUSAN M LAVERNIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055321

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

LAVERNIA

Business Name

SUSAN M LAVERNIA

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005