CHARLES R BOOTH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033177

License Status

INACTIVE

Business

First Name

CHARLES R

Last Name

BOOTH

Business Name

CHARLES R BOOTH

Original Issue Date

05/15/1980

Effective Date

05/15/1980

Expiration Date

03/31/1992

City

INDIANAPOLIS

State

Zip

46236

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005