MICHAELE S TAVARES - Pharmacist License in Indiana | # 049164080

MICHAELE S TAVARES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164080

License Status

NOT RENEWED

Business

N

First Name

MICHAELE

Middle

S

Last Name

TAVARES

Business Name

MICHAELE S TAVARES

Original Issue Date

09/21/2005

Effective Date

09/21/2005

Expiration Date

03/31/2006

State

IN

Ever Disciplined

N

LastModifiedDate

05/11/2006