SANDRA DUBOSE PATRICK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118005

License Status

INACTIVE

Business

First Name

SANDRA

Middle

DUBOSE

Last Name

PATRICK

Business Name

SANDRA DUBOSE PATRICK

Original Issue Date

06/30/1997

Effective Date

03/20/2018

Expiration Date

03/31/2019

City

GARY

State

Zip

46404

County

INDIANA

Ever Disciplined

LastModifiedDate

01/12/2019