LUKITA SUHARDJA Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064602

License Status

CANCELLED

Business

First Name

LUKITA

Last Name

SUHARDJA

Business Name

LUKITA SUHARDJA

Original Issue Date

12/12/1975

Effective Date

12/12/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005