SURINA K MAXWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150916

License Status

NOT RENEWED

Business

First Name

SURINA

Middle

Last Name

MAXWELL

Business Name

SURINA K MAXWELL

Original Issue Date

09/24/2003

Effective Date

09/24/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005