MARIA L SUPERSAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098952

License Status

NOT RENEWED

Business

First Name

MARIA L

Last Name

SUPERSAD

Business Name

MARIA L SUPERSAD

Original Issue Date

12/23/1991

Effective Date

12/23/1991

Expiration Date

03/31/1993

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005