MAXINE JUANITA CLAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256415

License Status

NOT RENEWED

Business

First Name

MAXINE

Middle

JUANITA

Last Name

CLAY

Business Name

MAXINE JUANITA CLAY

Original Issue Date

02/28/2018

Effective Date

02/28/2018

Expiration Date

03/31/2019

City

EAST CHICAGO

State

Zip

46312

Ever Disciplined

LastModifiedDate

07/15/2019