MINDY SUSAN AMBROSE - Pharmacist License in Illinois | # 049138876

MINDY SUSAN AMBROSE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138876

License Status

NOT RENEWED

Business

N

First Name

MINDY

Middle

SUSAN

Last Name

AMBROSE

Business Name

MINDY SUSAN AMBROSE

Original Issue Date

10/30/2001

Effective Date

01/12/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019