SUSAN KIM SONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151111

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

KIM

Last Name

SONG

Business Name

SUSAN KIM SONG

Original Issue Date

09/30/2003

Effective Date

09/30/2003

Expiration Date

03/31/2005

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005