LEIA SURJU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116933

License Status

NOT RENEWED

Business

First Name

LEIA

Last Name

SURJU

Business Name

LEIA SURJU

Original Issue Date

03/26/1997

Effective Date

03/26/1997

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005