SHADIMON MIGDALIA VANPELT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279015

License Status

NOT RENEWED

Business

First Name

SHADIMON

Middle

MIGDALIA

Last Name

VANPELT

Business Name

SHADIMON MIGDALIA VANPELT

Original Issue Date

01/28/2021

Effective Date

06/07/2022

Expiration Date

03/31/2023

City

GARY

State

Zip

46407

County

LAKE

Ever Disciplined

LastModifiedDate

09/07/2023