MAX VAUGHN TRIPLETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192407

License Status

NOT RENEWED

Business

First Name

MAX

Middle

VAUGHN

Last Name

TRIPLETT

Business Name

MAX VAUGHN TRIPLETT

Original Issue Date

06/18/2009

Effective Date

06/18/2009

Expiration Date

03/31/2010

City

HAMMOND

State

Zip

46320

County

INDIANA

Ever Disciplined

LastModifiedDate

05/04/2010