SUSAMMA THOMAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107118

License Status

NOT RENEWED

Business

First Name

SUSAMMA

Last Name

THOMAS

Business Name

SUSAMMA THOMAS

Original Issue Date

06/08/1994

Effective Date

06/08/1994

Expiration Date

03/31/1996

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005