CONNIE TREVIZO - Pharmacist License in Indiana | # 049205625

CONNIE TREVIZO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205625

License Status

NOT RENEWED

Business

N

First Name

CONNIE

Last Name

TREVIZO

Prefix

MR

Business Name

CONNIE TREVIZO

Original Issue Date

07/26/2011

Effective Date

07/26/2011

Expiration Date

03/31/2012

State

IN

Ever Disciplined

N

LastModifiedDate

05/07/2012