SUSAN BELIS FERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159685

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

BELIS

Last Name

FERNANDEZ

Business Name

SUSAN BELIS FERNANDEZ

Original Issue Date

03/23/2005

Effective Date

03/14/2012

Expiration Date

03/31/2013

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013