SUSAN M SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082157

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

SMITH

Business Name

SUSAN M SMITH

Original Issue Date

01/31/1986

Effective Date

01/31/1986

Expiration Date

03/31/1987

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005