FREDERIQUE G COULIBALY - Pharmacist License in Indiana | # 049211108

FREDERIQUE G COULIBALY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211108

License Status

NOT RENEWED

Business

N

First Name

FREDERIQUE

Middle

G

Last Name

COULIBALY

Prefix

MR

Business Name

FREDERIQUE G COULIBALY

Original Issue Date

05/16/2012

Effective Date

02/25/2016

Expiration Date

03/31/2017

State

IN

Ever Disciplined

N

LastModifiedDate

05/10/2017