EMMANUEL EVANGELISTA EMBUSCADO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199524

License Status

NOT RENEWED

Business

First Name

EMMANUEL

Middle

EVANGELISTA

Last Name

EMBUSCADO

Business Name

EMMANUEL EVANGELISTA EMBUSCADO

Original Issue Date

07/20/2010

Effective Date

07/20/2010

Expiration Date

03/31/2011

City

LAFAYETTE

State

Zip

47901

County

INDIANA

Ever Disciplined

LastModifiedDate

05/12/2011