MICHELLE ANDRIESSEN - Pharmacist License in Indiana | # 049155701

MICHELLE ANDRIESSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155701

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Last Name

ANDRIESSEN

Business Name

MICHELLE ANDRIESSEN

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

03/31/2005

State

IN

Ever Disciplined

N

LastModifiedDate

10/20/2005