SUSAN M MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288923

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

MARTIN

Business Name

SUSAN M MARTIN

Original Issue Date

07/26/2002

Effective Date

02/13/2020

Expiration Date

07/31/2022

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022