SUEBANG D KENMATIO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051299347

License Status

NOT RENEWED

Business

First Name

SUEBANG

Middle

Last Name

KENMATIO

Business Name

SUEBANG D KENMATIO

Original Issue Date

03/17/2016

Effective Date

03/17/2016

Expiration Date

03/31/2018

City

UPPER MARLBORO

State

Zip

20774

County

MARYLAND

Ever Disciplined

LastModifiedDate

06/19/2018