MIA V YAGUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201655

License Status

NOT RENEWED

Business

First Name

MIA

Middle

Last Name

YAGUE

Business Name

MIA V YAGUE

Original Issue Date

11/22/2010

Effective Date

05/01/2013

Expiration Date

03/31/2014

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

05/06/2014