ELISE D VAN SANT - Pharmacist License in Indiana | # 049190670

ELISE D VAN SANT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190670

License Status

NOT RENEWED

Business

N

First Name

ELISE

Middle

D

Last Name

VAN SANT

Prefix

MR

Business Name

ELISE D VAN SANT

Original Issue Date

04/02/2009

Effective Date

01/21/2015

Expiration Date

03/31/2016

State

IN

Ever Disciplined

N

LastModifiedDate

05/20/2016