MARK D TRIBOLETTI Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183560

License Status

INACTIVE

Business

First Name

MARK

Middle

Last Name

TRIBOLETTI

Prefix

Business Name

MARK D TRIBOLETTI

Original Issue Date

04/15/2008

Effective Date

04/15/2008

Expiration Date

03/31/2009

City

INDIANAPOLIS

State

Zip

46278

County

INDIANA

Ever Disciplined

LastModifiedDate

01/06/2009