SUSAN FELLARS CARLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025760

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

FELLARS

Last Name

CARLSON

Business Name

SUSAN FELLARS CARLSON

Original Issue Date

01/01/1997

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021