MEKDELAWIT VANSUCH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289808

License Status

INACTIVE

Business

First Name

MEKDELAWIT

Last Name

VANSUCH

Business Name

MEKDELAWIT VANSUCH

Original Issue Date

01/05/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

JAMAICA PLAIN

State

Zip

02130

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

01/05/2010