SUSIE A KONG - Pharmacist License in Illinois | # 049064662

SUSIE A KONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064662

License Status

NOT RENEWED

Business

N

First Name

SUSIE A

Last Name

KONG

Business Name

SUSIE A KONG

Original Issue Date

01/02/1976

Effective Date

01/02/1976

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005