LAQUON WALLACE JAMES - Pharmacist License in Indiana | # 049255285

LAQUON WALLACE JAMES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255285

License Status

NOT RENEWED

Business

N

First Name

LAQUON

Middle

WALLACE

Last Name

JAMES

Business Name

LAQUON WALLACE JAMES

Original Issue Date

01/03/2018

Effective Date

01/03/2018

Expiration Date

03/31/2019

State

IN

Ever Disciplined

N

LastModifiedDate

07/15/2019