ELIZABETH BUSTAMANTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112883

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Last Name

BUSTAMANTE

Business Name

ELIZABETH BUSTAMANTE

Original Issue Date

01/02/1996

Effective Date

01/02/1996

Expiration Date

03/31/1999

City

HAMMOND

State

Zip

46327

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005