SUSAN M BOURASSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086122

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

BOURASSA

Business Name

SUSAN M BOURASSA

Original Issue Date

03/05/1988

Effective Date

03/05/1988

Expiration Date

03/31/1989

City

BONFIELD

State

Zip

60913

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005