MARY T HUMPHREY - Pharmacist License in Indiana | # 049202511

MARY T HUMPHREY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202511

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

T

Last Name

HUMPHREY

Prefix

MR

Business Name

MARY T HUMPHREY

Original Issue Date

01/26/2011

Effective Date

01/26/2011

Expiration Date

03/31/2012

State

IN

Ever Disciplined

N

LastModifiedDate

05/07/2012