SUSAN MONTAGUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246996

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

MONTAGUE

Business Name

SUSAN MONTAGUE

Original Issue Date

12/09/2016

Effective Date

12/09/2016

Expiration Date

03/31/2017

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

05/10/2017