EDWARD J SURLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123863

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

SURLOCK

Business Name

EDWARD J SURLOCK

Original Issue Date

11/19/1998

Effective Date

02/09/2016

Expiration Date

03/31/2017

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017