NASTASSIA AYOTA OBAZEE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146117

License Status

NOT RENEWED

Business

First Name

NASTASSIA

Middle

AYOTA

Last Name

OBAZEE

Business Name

NASTASSIA AYOTA OBAZEE

Original Issue Date

11/26/2002

Effective Date

11/26/2002

Expiration Date

03/31/2005

City

HAMMOND

State

Zip

46324

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005