MARY A CHARBONEAU Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051296235

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

CHARBONEAU

Business Name

MARY A CHARBONEAU

Original Issue Date

09/18/2012

Effective Date

03/31/2016

Expiration Date

03/31/2018

City

SANTA CRUZ

State

Zip

95062

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

01/12/2018