NASTASSIA AYOTA OBAZEE - Pharmacist License in Indiana | # 049146117

NASTASSIA AYOTA OBAZEE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146117

License Status

NOT RENEWED

Business

N

First Name

NASTASSIA

Middle

AYOTA

Last Name

OBAZEE

Business Name

NASTASSIA AYOTA OBAZEE

Original Issue Date

11/26/2002

Effective Date

11/26/2002

Expiration Date

03/31/2005

State

IN

Ever Disciplined

N

LastModifiedDate

10/20/2005