SUSAN M OLIVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068146

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

OLIVA

Business Name

SUSAN M OLIVA

Original Issue Date

09/23/1977

Effective Date

09/23/1977

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005