KRISTI T MAMMEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145599

License Status

NOT RENEWED

Business

First Name

KRISTI

Middle

Last Name

MAMMEN

Business Name

KRISTI T MAMMEN

Original Issue Date

10/30/2002

Effective Date

10/30/2002

Expiration Date

03/31/2004

City

WEST MELBOURNE

State

Zip

32904

Ever Disciplined

LastModifiedDate

10/20/2005