SUSAN L BOKHOLDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139459

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

BOKHOLDT

Business Name

SUSAN L BOKHOLDT

Original Issue Date

12/03/2001

Effective Date

12/03/2001

Expiration Date

03/31/2004

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005