SUZANNE ELAINE CLOSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051287161

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

ELAINE

Last Name

Business Name

SUZANNE ELAINE CLOSE

Original Issue Date

08/03/1999

Effective Date

03/19/2014

Expiration Date

03/31/2016

City

BRAZIL

State

Zip

47834

County

INDIANA

Ever Disciplined

LastModifiedDate

05/20/2016