MARY A SUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161308

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

SUS

Business Name

MARY A SUS

Original Issue Date

05/24/2005

Effective Date

05/24/2005

Expiration Date

03/31/2006

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006