M SUSAN FONCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213567

License Status

NOT RENEWED

Business

First Name

M SUSAN

Last Name

FONCK

Prefix

Business Name

M SUSAN FONCK

Original Issue Date

09/17/2012

Effective Date

02/06/2014

Expiration Date

03/31/2015

City

JOLIET

State

Zip

60436

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2015