SUSAN LUM - Pharmacist License in Illinois | # 049064484

SUSAN LUM

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064484

License Status

CANCELLED

Business

N

First Name

SUSAN

Last Name

LUM

Business Name

SUSAN LUM

Original Issue Date

11/14/1975

Effective Date

11/14/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005