MEKDELAWIT VANSUCH - Pharmacist License in Massachusetts | # 051289808

MEKDELAWIT VANSUCH

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289808

License Status

INACTIVE

Business

N

First Name

MEKDELAWIT

Last Name

VANSUCH

Business Name

MEKDELAWIT VANSUCH

Original Issue Date

01/05/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

MA

Ever Disciplined

N

LastModifiedDate

01/05/2010