SUSAN BONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148301

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

BONG

Business Name

SUSAN BONG

Original Issue Date

04/22/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

NORTHBROOK

State

Zip

60062

Ever Disciplined

LastModifiedDate

05/02/2008