SUSAN VANDENBURGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096259

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

VANDENBURGH

Business Name

SUSAN VANDENBURGH

Original Issue Date

03/26/1991

Effective Date

03/26/1991

Expiration Date

03/31/1992

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005