THOMAS LOPEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154981

License Status

NOT RENEWED

Business

First Name

THOMAS

Last Name

LOPEZ

Business Name

THOMAS LOPEZ

Original Issue Date

06/11/2004

Effective Date

06/11/2004

Expiration Date

03/31/2005

City

EAST CHICAGO

State

Zip

46312

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005