SUSAN MARIE HAMSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144335

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARIE

Last Name

HAMSTROM

Business Name

SUSAN MARIE HAMSTROM

Original Issue Date

08/27/2002

Effective Date

08/27/2002

Expiration Date

03/31/2004

City

EDMORE

State

Zip

48829

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/20/2005