SUSI B WONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117685

License Status

NOT RENEWED

Business

First Name

SUSI

Middle

Last Name

WONG

Business Name

SUSI B WONG

Original Issue Date

05/23/1997

Effective Date

05/23/1997

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005