SUSIE CHEN DRAKE MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146716

License Status

NOT RENEWED

Business

Title

First Name

SUSIE

Middle

CHEN

Last Name

DRAKE

Business Name

SUSIE CHEN DRAKE MD

Original Issue Date

01/13/2003

Effective Date

01/13/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005