EMELIA D EXUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155279

License Status

NOT RENEWED

Business

First Name

EMELIA

Middle

Last Name

EXUM

Business Name

EMELIA D EXUM

Original Issue Date

06/16/2004

Effective Date

06/16/2004

Expiration Date

03/31/2005

City

GARY

State

Zip

46407

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005