CONNIE S SURRATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184935

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

SURRATT

Business Name

CONNIE S SURRATT

Original Issue Date

06/16/2008

Effective Date

03/04/2010

Expiration Date

03/31/2011

City

ASTORIA

State

Zip

61501

County

FULTON

Ever Disciplined

LastModifiedDate

05/12/2011