SUZANNE M WASHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135090

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

Last Name

WASHAM

Business Name

SUZANNE M WASHAM

Original Issue Date

03/12/2001

Effective Date

03/12/2001

Expiration Date

03/31/2004

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/20/2005