SUSAN LEE HIATT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030015

License Status

INACTIVE

Business

First Name

SUSAN LEE

Last Name

HIATT

Business Name

SUSAN LEE HIATT

Original Issue Date

08/02/1974

Effective Date

01/28/2014

Expiration Date

03/31/2016

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

01/28/2016