SUSIE C BAHENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145108

License Status

NOT RENEWED

Business

First Name

SUSIE

Middle

Last Name

BAHENA

Business Name

SUSIE C BAHENA

Original Issue Date

10/04/2002

Effective Date

10/04/2002

Expiration Date

03/31/2004

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005