SHELLEY D SUSANKA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037617

License Status

INACTIVE

Business

First Name

SHELLEY D

Last Name

SUSANKA

Business Name

SHELLEY D SUSANKA

Original Issue Date

10/18/1989

Effective Date

10/18/1989

Expiration Date

03/31/1994

City

GRAND TERRACE

State

Zip

92324

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005