SUSAN MARIE FIEDOR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122719

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARIE

Last Name

FIEDOR

Business Name

SUSAN MARIE FIEDOR

Original Issue Date

09/02/1998

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007