SURINA K MAXWELL - Pharmacist License in Illinois | # 049150916

SURINA K MAXWELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150916

License Status

NOT RENEWED

Business

N

First Name

SURINA

Middle

K

Last Name

MAXWELL

Business Name

SURINA K MAXWELL

Original Issue Date

09/24/2003

Effective Date

09/24/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005