SUSAN LYNN BONIVEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146714

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

LYNN

Last Name

BONIVEL

Business Name

SUSAN LYNN BONIVEL

Original Issue Date

01/13/2003

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009