SUSAN HOLMBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056497

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

HOLMBERG

Business Name

SUSAN HOLMBERG

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005