SUSAN M DEITELHOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098314

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

DEITELHOFF

Business Name

SUSAN M DEITELHOFF

Original Issue Date

10/08/1991

Effective Date

10/08/1991

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005