KRISTAN D FIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179106

License Status

NOT RENEWED

Business

First Name

KRISTAN

Middle

Last Name

FIELDS

Business Name

KRISTAN D FIELDS

Original Issue Date

09/10/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CARMEL

State

Zip

46032

County

INDIANA

Ever Disciplined

LastModifiedDate

05/06/2009