DAVID LOUIS SURACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060929

License Status

NOT RENEWED

Business

First Name

DAVID LOUIS

Last Name

SURACE

Business Name

DAVID LOUIS SURACE

Original Issue Date

02/04/1974

Effective Date

02/04/1974

Expiration Date

01/01/1997

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005