AMY A BLUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145193

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

BLUE

Business Name

AMY A BLUE

Original Issue Date

10/10/2002

Effective Date

10/10/2002

Expiration Date

03/31/2003

City

HAMMOND

State

Zip

46324

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005