MARY A SUS - Pharmacist License in Illinois | # 049161308

MARY A SUS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161308

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

A

Last Name

SUS

Business Name

MARY A SUS

Original Issue Date

05/24/2005

Effective Date

05/24/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006