SHANA ASHLEY MORTENSON - Pharmacist License in Iowa | # 049156090

SHANA ASHLEY MORTENSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156090

License Status

NOT RENEWED

Business

N

First Name

SHANA

Middle

ASHLEY

Last Name

MORTENSON

Business Name

SHANA ASHLEY MORTENSON

Original Issue Date

07/13/2004

Effective Date

01/26/2009

Expiration Date

03/31/2010

State

IA

Ever Disciplined

N

LastModifiedDate

05/04/2010