TAMARA ELAINE SURRATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073800

License Status

NOT RENEWED

Business

First Name

TAMARA ELAINE

Last Name

SURRATT

Business Name

TAMARA ELAINE SURRATT

Original Issue Date

10/24/1980

Effective Date

10/24/1980

Expiration Date

03/31/1982

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

10/17/2005