BEVERLY WYNNE CHURCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128934

License Status

NOT RENEWED

Business

First Name

BEVERLY

Middle

WYNNE

Last Name

CHURCH

Business Name

BEVERLY WYNNE CHURCH

Original Issue Date

01/13/2000

Effective Date

03/28/2014

Expiration Date

03/31/2015

City

GRIFFITH

State

Zip

46319

County

INDIANA

Ever Disciplined

LastModifiedDate

05/11/2015