HEATHER LYNN BASHAM - Pharmacist License in Indiana | # 049156797

HEATHER LYNN BASHAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156797

License Status

NOT RENEWED

Business

N

First Name

HEATHER

Middle

LYNN

Last Name

BASHAM

Business Name

HEATHER LYNN BASHAM

Original Issue Date

08/19/2004

Effective Date

08/19/2004

Expiration Date

03/31/2005

State

IN

Ever Disciplined

N

LastModifiedDate

10/20/2005