SHIRLEY T SIU Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040454

License Status

INACTIVE

Business

First Name

SHIRLEY T

Last Name

SIU

Business Name

SHIRLEY T SIU

Original Issue Date

08/21/1995

Effective Date

08/21/1995

Expiration Date

03/31/1998

City

PETALUMA

State

Zip

94954

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005