THEODORE ROOSEVELT MAYES - Pharmacist License in Indiana | # 049131825

THEODORE ROOSEVELT MAYES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131825

License Status

NOT RENEWED

Business

N

First Name

THEODORE

Middle

ROOSEVELT

Last Name

MAYES

Business Name

THEODORE ROOSEVELT MAYES

Original Issue Date

07/27/2000

Effective Date

07/27/2000

Expiration Date

03/31/2005

State

IN

Ever Disciplined

N

LastModifiedDate

10/20/2005