SUSIE PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143928

License Status

NOT RENEWED

Business

First Name

SUSIE

Last Name

PARK

Business Name

SUSIE PARK

Original Issue Date

07/30/2002

Effective Date

07/30/2002

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005