SHIRL A SURMAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101817

License Status

INACTIVE

Business

First Name

SHIRL A

Last Name

SURMAN

Business Name

SHIRL A SURMAN

Original Issue Date

11/23/1992

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

01/10/2021