BARBARA A SUP - Pharmacist License in Illinois | # 049057033

BARBARA A SUP

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057033

License Status

NOT RENEWED

Business

N

First Name

BARBARA A

Last Name

SUP

Business Name

BARBARA A SUP

Original Issue Date

10/29/1971

Effective Date

10/29/1971

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005