SUSAN E FANG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029161

License Status

INACTIVE

Business

First Name

SUSAN E

Last Name

FANG

Business Name

SUSAN E FANG

Original Issue Date

08/05/1972

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

GILBERT

State

Zip

85298

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/05/2010