PATRICIA L PINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051295110

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

PINE

Business Name

PATRICIA L PINE

Original Issue Date

07/20/2011

Effective Date

03/28/2018

Expiration Date

09/30/2020

City

TERRE HAUTE

State

Zip

47803

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021