SUSAN BETH ELDERSVELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030954

License Status

NOT RENEWED

Business

First Name

SUSAN BETH

Last Name

ELDERSVELD

Business Name

SUSAN BETH ELDERSVELD

Original Issue Date

08/06/1976

Effective Date

02/13/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016