EBONY L PAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163377

License Status

NOT RENEWED

Business

First Name

EBONY

Middle

Last Name

PAGE

Business Name

EBONY L PAGE

Original Issue Date

08/30/2005

Effective Date

08/30/2005

Expiration Date

03/31/2006

City

LAFAYETTE

State

Zip

47909

County

INDIANA

Ever Disciplined

LastModifiedDate

05/11/2006