POLLY SUZANNE KETCHUM - Pharmacist License in Illinois | # 049178266

POLLY SUZANNE KETCHUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178266

License Status

NOT RENEWED

Business

N

First Name

POLLY

Middle

SUZANNE

Last Name

KETCHUM

Business Name

POLLY SUZANNE KETCHUM

Original Issue Date

08/07/2007

Effective Date

03/15/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013