SUSAN LYNNE KUSAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142205

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

LYNNE

Last Name

KUSAK

Business Name

SUSAN LYNNE KUSAK

Original Issue Date

05/08/2002

Effective Date

05/08/2002

Expiration Date

03/31/2006

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006