MARK STEVEN PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073353

License Status

NOT RENEWED

Business

First Name

MARK STEVEN

Last Name

PAYNE

Business Name

MARK STEVEN PAYNE

Original Issue Date

07/29/1980

Effective Date

01/27/2006

Expiration Date

03/31/2007

City

HAMMOND

State

Zip

46320

County

INDIANA

Ever Disciplined

LastModifiedDate

05/14/2007