AMY LYNN PAVLAK - Pharmacist License in Indiana | # 049204672

AMY LYNN PAVLAK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204672

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

LYNN

Last Name

PAVLAK

Business Name

AMY LYNN PAVLAK

Original Issue Date

06/07/2011

Effective Date

04/11/2012

Expiration Date

03/31/2013

State

IN

Ever Disciplined

N

LastModifiedDate

05/06/2013