CARLY D HARTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194000

License Status

NOT RENEWED

Business

First Name

CARLY

Middle

Last Name

HARTMAN

Prefix

Business Name

CARLY D HARTMAN

Original Issue Date

09/02/2009

Effective Date

03/13/2013

Expiration Date

03/31/2014

City

GOSHEN

State

Zip

46526

County

INDIANA

Ever Disciplined

LastModifiedDate

05/06/2014