SUSAN LUM Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064484

License Status

CANCELLED

Business

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

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005