SHAD JASON SUTHERLAND Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286477

License Status

INACTIVE

Business

First Name

SHAD

Middle

JASON

Last Name

SUTHERLAND

Business Name

SHAD JASON SUTHERLAND

Original Issue Date

04/09/1998

Effective Date

04/09/1998

Expiration Date

03/31/2000

City

SNELLVILLE

State

Zip

30078

County

GEORGIA

Ever Disciplined

LastModifiedDate

12/06/2005