License holder summary

AUTUMN SUSANNE TAMI is a Pharmacy - Authorization to Administer Injectables licensed to practice in Pennsylvania. The address on file for AUTUMN SUSANNE TAMI is Myrtle Beach SC 29577. This licensed professional license is not current. The license was granted 08/11/2009 and expired on 09/30/2014.

Pennsylvania

Department of State

AUTUMN SUSANNE TAMI
Pharmacy - Authorization to Administer Injectables
License number
RPI001425
Date granted
08/11/2009
Date expires
09/30/2014
Class
Pharmacy - Authorization to Administer Injectables
Status
Expired
Address
Myrtle Beach SC 29577
palicensing.org
ID 17093849
LAST UPDATED 2024-03-16 01:02:26 UTC

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