SUSAN KAE NOMMENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035484

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

KAE

Last Name

NOMMENSEN

Business Name

SUSAN KAE NOMMENSEN

Original Issue Date

09/05/1984

Effective Date

07/30/2021

Expiration Date

07/31/2022

City

NAPLES

State

Zip

34103

Ever Disciplined

LastModifiedDate

10/14/2022