MARK H FRAZIER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132326

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

FRAZIER

Business Name

MARK H FRAZIER

Original Issue Date

08/23/2000

Effective Date

08/23/2000

Expiration Date

03/31/2005

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005