SUSAN M O BRIANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199475

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

O BRIANT

Business Name

SUSAN M O BRIANT

Original Issue Date

07/15/2010

Effective Date

03/22/2011

Expiration Date

03/31/2012

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/07/2012