STEPHANIE NICOLE PEREZ - Pharmacist License in Indiana | # 049132045

STEPHANIE NICOLE PEREZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132045

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

NICOLE

Last Name

PEREZ

Business Name

STEPHANIE NICOLE PEREZ

Original Issue Date

08/08/2000

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IN

Ever Disciplined

N

LastModifiedDate

05/02/2008