CAMILLE S SUPERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029308

License Status

NOT RENEWED

Business

First Name

CAMILLE S

Last Name

SUPERSON

Business Name

CAMILLE S SUPERSON

Original Issue Date

08/18/1972

Effective Date

08/18/1972

Expiration Date

03/31/1988

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005