SUSAN L DZIALO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197371

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

DZIALO

Business Name

SUSAN L DZIALO

Original Issue Date

03/18/2010

Effective Date

03/18/2010

Expiration Date

03/31/2011

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011