ABRAHAM N TIAWHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139727

License Status

NOT RENEWED

Business

First Name

ABRAHAM

Middle

Last Name

TIAWHAN

Business Name

ABRAHAM N TIAWHAN

Original Issue Date

12/28/2001

Effective Date

12/28/2001

Expiration Date

03/31/2005

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

10/20/2005