SUSAN MARY POTEMPA Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062843

License Status

CANCELLED

Business

First Name

SUSAN MARY

Last Name

POTEMPA

Business Name

SUSAN MARY POTEMPA

Original Issue Date

01/24/1975

Effective Date

01/24/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005