ELISE D VAN SANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190670

License Status

NOT RENEWED

Business

First Name

ELISE

Middle

Last Name

VAN SANT

Prefix

Business Name

ELISE D VAN SANT

Original Issue Date

04/02/2009

Effective Date

01/21/2015

Expiration Date

03/31/2016

City

CAYUGA

State

Zip

47928

County

INDIANA

Ever Disciplined

LastModifiedDate

05/20/2016