MARK E GAYHEART Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051297316

License Status

INACTIVE

Business

First Name

MARK

Middle

Last Name

GAYHEART

Business Name

MARK E GAYHEART

Original Issue Date

11/26/2013

Effective Date

02/18/2016

Expiration Date

03/31/2018

City

FORT WAYNE

State

Zip

46845

County

INDIANA

Ever Disciplined

LastModifiedDate

01/12/2018