ANTHONY C PUTCHAVEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131080

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

PUTCHAVEN

Business Name

ANTHONY C PUTCHAVEN

Original Issue Date

06/07/2000

Effective Date

06/07/2000

Expiration Date

03/31/2006

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

05/11/2006