SUSIE A KONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064662

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005