SUZANNE A FADLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051291825

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

Last Name

FADLY

Business Name

SUZANNE A FADLY

Original Issue Date

06/21/2007

Effective Date

01/19/2010

Expiration Date

03/31/2012

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012