MICHAEL DOUGLASS LIGHT I Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099935

License Status

NOT RENEWED

Business

First Name

MICHAEL DOUGLASS

Last Name

LIGHT I

Business Name

MICHAEL DOUGLASS LIGHT I

Original Issue Date

04/22/1992

Effective Date

04/22/1992

Expiration Date

03/31/1994

City

GARY

State

Zip

46408

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005