CHRISTINAE RENAE TIPTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155167

License Status

NOT RENEWED

Business

First Name

CHRISTINAE

Middle

RENAE

Last Name

TIPTON

Business Name

CHRISTINAE RENAE TIPTON

Original Issue Date

06/15/2004

Effective Date

06/15/2004

Expiration Date

03/31/2005

City

GARY

State

Zip

46404

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005