TALITHA YAGUE AZAROV Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133943

License Status

NOT RENEWED

Business

First Name

TALITHA

Middle

YAGUE

Last Name

AZAROV

Business Name

TALITHA YAGUE AZAROV

Original Issue Date

12/08/2000

Effective Date

12/08/2000

Expiration Date

03/31/2002

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

12/06/2005