MICHAELE S TAVARES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164080

License Status

NOT RENEWED

Business

First Name

MICHAELE

Middle

Last Name

TAVARES

Business Name

MICHAELE S TAVARES

Original Issue Date

09/21/2005

Effective Date

09/21/2005

Expiration Date

03/31/2006

City

JEFFERSONVILLE

State

Zip

47129

County

INDIANA

Ever Disciplined

LastModifiedDate

05/11/2006