SUSAN J DERHAM - Pharmacist License in Illinois | # 049083103

SUSAN J DERHAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083103

License Status

NOT RENEWED

Business

N

First Name

SUSAN J

Last Name

DERHAM

Business Name

SUSAN J DERHAM

Original Issue Date

07/31/1986

Effective Date

07/31/1986

Expiration Date

03/31/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005