MAXIM AZAROV Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202178

License Status

NOT RENEWED

Business

First Name

MAXIM

Last Name

AZAROV

Business Name

MAXIM AZAROV

Original Issue Date

01/05/2011

Effective Date

02/15/2012

Expiration Date

03/31/2013

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

05/06/2013