Maryan Sheppard Sussman
ExpiredIllinois license 049050895
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049050895
- Status
- Expired (Not Renewed)
- First issued
- January 1, 1997
- Expired
- March 31, 1998
- License holder
- Maryan Sheppard Sussman
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
Contact
Belleville, IL 62223
Saint Clair County