MARK STEVEN PAYNE - Pharmacist License in Indiana | # 049073353

MARK STEVEN PAYNE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073353

License Status

NOT RENEWED

Business

N

First Name

MARK STEVEN

Last Name

PAYNE

Business Name

MARK STEVEN PAYNE

Original Issue Date

07/29/1980

Effective Date

01/27/2006

Expiration Date

03/31/2007

State

IN

Ever Disciplined

N

LastModifiedDate

05/14/2007