AMANDA M SURICO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146436

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

SURICO

Business Name

AMANDA M SURICO

Original Issue Date

12/18/2002

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

ORLAND HILLS

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021