SUSAN K MASHBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141863

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

MASHBURN

Business Name

SUSAN K MASHBURN

Original Issue Date

04/12/2002

Effective Date

04/12/2002

Expiration Date

03/31/2004

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/20/2005