SUSAN LYNN KAPUSTKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030495

License Status

NOT RENEWED

Business

First Name

SUSAN LYNN

Last Name

KAPUSTKA

Business Name

SUSAN LYNN KAPUSTKA

Original Issue Date

07/25/1975

Effective Date

02/06/2014

Expiration Date

03/31/2016

City

LAKEWOOD

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/20/2016