DIONNE KIM EWING Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289453

License Status

INACTIVE

Business

First Name

DIONNE

Middle

KIM

Last Name

EWING

Business Name

DIONNE KIM EWING

Original Issue Date

07/17/2003

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

INDIANAPOLIS

State

Zip

46202

County

INDIANA

Ever Disciplined

LastModifiedDate

01/04/2020