CHARLES EDWARD FIELDS III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179661

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

EDWARD

Last Name

FIELDS

Suffix

III

Business Name

CHARLES EDWARD FIELDS III

Original Issue Date

10/01/2007

Effective Date

01/09/2009

Expiration Date

03/31/2010

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

05/04/2010