SUSAN LYNNE SIMON - Pharmacist License in Illinois | # 049060683

SUSAN LYNNE SIMON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060683

License Status

NOT RENEWED

Business

N

First Name

SUSAN LYNNE

Last Name

SIMON

Business Name

SUSAN LYNNE SIMON

Original Issue Date

11/30/1973

Effective Date

11/30/1973

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005