PAGEN JADE ASHTIANI - Pharmacist License in Illinois | # 049198297

PAGEN JADE ASHTIANI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198297

License Status

NOT RENEWED

Business

N

First Name

PAGEN

Middle

JADE

Last Name

ASHTIANI

Business Name

PAGEN JADE ASHTIANI

Original Issue Date

05/11/2010

Effective Date

04/09/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014