MICHAEL EDWARD SURA - Pharmacist License in Indiana | # 051286307

MICHAEL EDWARD SURA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286307

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

EDWARD

Last Name

SURA

Business Name

MICHAEL EDWARD SURA

Original Issue Date

10/09/1997

Effective Date

01/22/2018

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

01/14/2021