SPENCER BLAKE TEBBE - Pharmacist License in Indiana | # 049267945

SPENCER BLAKE TEBBE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267945

License Status

NOT RENEWED

Business

N

First Name

SPENCER

Middle

BLAKE

Last Name

TEBBE

Business Name

SPENCER BLAKE TEBBE

Original Issue Date

09/19/2019

Effective Date

09/19/2019

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

01/08/2021