ANDRA DIANE EVANSIN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030158

License Status

INACTIVE

Business

First Name

ANDRA DIANE

Last Name

EVANSIN

Business Name

ANDRA DIANE EVANSIN

Original Issue Date

08/13/1974

Effective Date

08/13/1974

Expiration Date

03/31/1984

City

LITTLETON

State

Zip

80122

County

COLORADO

Ever Disciplined

LastModifiedDate

10/17/2005