MIRA T SUSENO Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040649

License Status

ACTIVE

Business

First Name

MIRA T

Last Name

SUSENO

Business Name

MIRA T SUSENO

Original Issue Date

11/10/1995

Effective Date

01/31/2026

Expiration Date

03/31/2028

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

01/31/2026