AMY LYNN PAVLAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204672

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LYNN

Last Name

PAVLAK

Business Name

AMY LYNN PAVLAK

Original Issue Date

06/07/2011

Effective Date

04/11/2012

Expiration Date

03/31/2013

City

WEST LAFAYETTE

State

Zip

47906

County

INDIANA

Ever Disciplined

LastModifiedDate

05/06/2013