LUCIANA E SUWARSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076311

License Status

NOT RENEWED

Business

First Name

LUCIANA E

Last Name

SUWARSA

Business Name

LUCIANA E SUWARSA

Original Issue Date

04/08/1982

Effective Date

04/08/1982

Expiration Date

03/31/1986

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005