SUSAN M MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177948

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

MARTIN

Business Name

SUSAN M MARTIN

Original Issue Date

07/23/2007

Effective Date

06/28/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012