RAE SUTPHIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280089

License Status

NOT RENEWED

Business

First Name

RAE

Last Name

SUTPHIN

Business Name

RAE SUTPHIN

Original Issue Date

03/04/2021

Effective Date

03/04/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60618

Ever Disciplined

LastModifiedDate

07/27/2022