SHEANA D GUPTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154316

License Status

NOT RENEWED

Business

First Name

SHEANA

Middle

Last Name

GUPTA

Business Name

SHEANA D GUPTA

Original Issue Date

05/19/2004

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

LAFAYETTE

State

Zip

47909

County

INDIANA

Ever Disciplined

LastModifiedDate

05/12/2011