KATIE L SURMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183006

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

Last Name

SURMAN

Business Name

KATIE L SURMAN

Original Issue Date

03/21/2008

Effective Date

03/21/2008

Expiration Date

03/31/2009

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/06/2009