SUSAN RAE HEATHERLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161844

License Status

NOT RENEWED

Business

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

City

PHOENIX

State

Zip

85016

County

ARIZONA

Ever Disciplined

LastModifiedDate

05/11/2006