JULIE ELOISE SELF Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051296316

License Status

INACTIVE

Business

First Name

JULIE

Middle

ELOISE

Last Name

SELF

Business Name

JULIE ELOISE SELF

Original Issue Date

10/19/2012

Effective Date

03/30/2016

Expiration Date

03/31/2018

City

MOORESVILLE

State

Zip

46158

County

INDIANA

Ever Disciplined

LastModifiedDate

01/12/2018