SUSAN ILENE WEISS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065534

License Status

NOT RENEWED

Business

First Name

SUSAN ILENE

Last Name

WEISS

Business Name

SUSAN ILENE WEISS

Original Issue Date

06/11/1976

Effective Date

06/11/1976

Expiration Date

01/01/1997

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005