AMANDA NICHOLE LONGTIN - Pharmacist License in Indiana | # 049182705

AMANDA NICHOLE LONGTIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182705

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

NICHOLE

Last Name

LONGTIN

Business Name

AMANDA NICHOLE LONGTIN

Original Issue Date

03/10/2008

Effective Date

03/06/2009

Expiration Date

03/31/2010

State

IN

Ever Disciplined

N

LastModifiedDate

05/04/2010