SUSAN RAE HEATHERLY - Pharmacist License in Arizona | # 049161844

SUSAN RAE HEATHERLY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161844

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

RAE

Last Name

HEATHERLY

Business Name

SUSAN RAE HEATHERLY

Original Issue Date

06/23/2005

Effective Date

06/23/2005

Expiration Date

03/31/2006

State

AZ

Ever Disciplined

N

LastModifiedDate

05/11/2006