MANDY FAITH ANTKIEWICZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154599

License Status

NOT RENEWED

Business

First Name

MANDY

Middle

FAITH

Last Name

ANTKIEWICZ

Business Name

MANDY FAITH ANTKIEWICZ

Original Issue Date

05/27/2004

Effective Date

05/27/2004

Expiration Date

03/31/2005

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005