SUSANA A VASQUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130062

License Status

NOT RENEWED

Business

First Name

SUSANA

Middle

Last Name

VASQUEZ

Business Name

SUSANA A VASQUEZ

Original Issue Date

03/17/2000

Effective Date

03/17/2000

Expiration Date

03/31/2001

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005