SAMUEL DURHAM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191252

License Status

INACTIVE

Business

First Name

SAMUEL

Last Name

DURHAM

Prefix

Business Name

SAMUEL DURHAM

Original Issue Date

04/23/2009

Effective Date

04/23/2009

Expiration Date

03/31/2010

City

LAFAYETTE

State

Zip

47909

County

INDIANA

Ever Disciplined

LastModifiedDate

01/12/2010