VIRGINIA SUSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216791

License Status

NOT RENEWED

Business

First Name

VIRGINIA

Last Name

SUSA

Business Name

VIRGINIA SUSA

Original Issue Date

03/26/2013

Effective Date

02/25/2014

Expiration Date

03/31/2015

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2015