MARY SUZANN AL-KHAYYAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081696

License Status

NOT RENEWED

Business

First Name

MARY SUZANN

Last Name

AL-KHAYYAT

Business Name

MARY SUZANN AL-KHAYYAT

Original Issue Date

09/18/1985

Effective Date

09/18/1985

Expiration Date

03/31/1992

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005