CARRIE GRACE NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076514

License Status

NOT RENEWED

Business

First Name

CARRIE GRACE

Last Name

NELSON

Business Name

CARRIE GRACE NELSON

Original Issue Date

06/02/1982

Effective Date

06/02/1982

Expiration Date

03/31/1986

City

MUNSTER LAKE

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005