SUSAN A CHONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070720

License Status

NOT RENEWED

Business

First Name

SUSAN A

Last Name

CHONG

Business Name

SUSAN A CHONG

Original Issue Date

02/23/1979

Effective Date

02/23/1979

Expiration Date

01/01/1997

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/17/2005