SUSANNA C MOULTON Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034772

License Status

ACTIVE

Business

First Name

SUSANNA C

Last Name

MOULTON

Business Name

SUSANNA C MOULTON

Original Issue Date

05/06/1983

Effective Date

03/21/2024

Expiration Date

03/31/2026

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

01/30/2026