SUSAN R UKLEJA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033515

License Status

NOT RENEWED

Business

First Name

SUSAN R

Last Name

UKLEJA

Business Name

SUSAN R UKLEJA

Original Issue Date

11/12/1980

Effective Date

02/18/2020

Expiration Date

07/31/2022

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/14/2022