BEVERLY WYNNE CHURCH - Pharmacist License in Indiana | # 049128934

BEVERLY WYNNE CHURCH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128934

License Status

NOT RENEWED

Business

N

First Name

BEVERLY

Middle

WYNNE

Last Name

CHURCH

Business Name

BEVERLY WYNNE CHURCH

Original Issue Date

01/13/2000

Effective Date

03/28/2014

Expiration Date

03/31/2015

State

IN

Ever Disciplined

N

LastModifiedDate

05/11/2015