MARIA SUSANNA BORNSIDE - Pharmacist License in Illinois | # 049204867

MARIA SUSANNA BORNSIDE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204867

License Status

NOT RENEWED

Business

N

First Name

MARIA

Middle

SUSANNA

Last Name

BORNSIDE

Business Name

MARIA SUSANNA BORNSIDE

Original Issue Date

06/20/2011

Effective Date

03/08/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014