Aviva R Suppo
ExpiredIllinois license 049132205
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049132205
- Status
- Expired (Not Renewed)
- First issued
- August 16, 2000
- Expired
- March 31, 2001
- License holder
- Aviva R Suppo
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 08/16/2000
Contact
Highland Park, IL 60035
Lake County