SUSAN A OSTERHOLM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109233

License Status

NOT RENEWED

Business

First Name

SUSAN A

Last Name

OSTERHOLM

Business Name

SUSAN A OSTERHOLM

Original Issue Date

01/10/1995

Effective Date

01/10/1995

Expiration Date

03/31/1996

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005