SUSAN C FAIRWEATHER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169381

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

FAIRWEATHER

Business Name

SUSAN C FAIRWEATHER

Original Issue Date

06/16/2006

Effective Date

06/02/2010

Expiration Date

03/31/2011

City

HOMINY

State

Zip

74035

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

05/12/2011