BARBARA A SUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057033

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005