CONNIE TREVIZO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205625

License Status

NOT RENEWED

Business

First Name

CONNIE

Last Name

TREVIZO

Prefix

Business Name

CONNIE TREVIZO

Original Issue Date

07/26/2011

Effective Date

07/26/2011

Expiration Date

03/31/2012

City

SOUTH BEND

State

Zip

46613

County

INDIANA

Ever Disciplined

LastModifiedDate

05/07/2012