JAMES SUSORNEY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031210

License Status

INACTIVE

Business

First Name

JAMES

Last Name

SUSORNEY

Business Name

JAMES SUSORNEY

Original Issue Date

08/06/1976

Effective Date

08/06/1976

Expiration Date

03/31/1986

City

INDIANAPOLIS

State

Zip

46220

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005