BRIAN M LINDVAHL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149620

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

LINDVAHL

Business Name

BRIAN M LINDVAHL

Original Issue Date

07/28/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

COVINGTON

State

Zip

47932

County

INDIANA

Ever Disciplined

LastModifiedDate

05/02/2008