SUSAN MILLIS MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066660

License Status

NOT RENEWED

Business

First Name

SUSAN MILLIS

Last Name

MARTIN

Business Name

SUSAN MILLIS MARTIN

Original Issue Date

01/14/1977

Effective Date

01/14/1977

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005