SUSAN E CHASTAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099575

License Status

NOT RENEWED

Business

First Name

SUSAN E

Last Name

CHASTAIN

Business Name

SUSAN E CHASTAIN

Original Issue Date

03/04/1992

Effective Date

04/03/2018

Expiration Date

03/31/2019

City

DEER CREEK

State

Zip

61733

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/15/2019