SUSAN M DONTANVILLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110778

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

DONTANVILLE

Business Name

SUSAN M DONTANVILLE

Original Issue Date

06/07/1995

Effective Date

06/07/1995

Expiration Date

03/31/1996

City

BERKELEY

State

Zip

60163

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005