SUSAN V FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288173

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

FORD

Business Name

SUSAN V FORD

Original Issue Date

04/05/2001

Effective Date

03/05/2020

Expiration Date

07/31/2022

City

MESA

State

Zip

85215

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/14/2022