DANIEL SUSSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051021853

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

SUSSMAN

Business Name

DANIEL SUSSMAN

Original Issue Date

01/01/1997

Expiration Date

03/31/2000

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/06/2005