CORINA J SURRATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189379

License Status

NOT RENEWED

Business

First Name

CORINA

Middle

Last Name

SURRATT

Business Name

CORINA J SURRATT

Original Issue Date

01/28/2009

Effective Date

02/09/2010

Expiration Date

03/31/2011

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/28/2013