CARISSA T SUYDAM Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195708

License Status

ACTIVE

Business

First Name

CARISSA

Middle

Last Name

SUYDAM

Business Name

CARISSA T SUYDAM

Original Issue Date

12/06/2009

Effective Date

02/22/2026

Expiration Date

03/31/2027

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

02/22/2026