ANDREA LYNN PHAVISETH - Pharmacist License in Minnesota | # 049248004

ANDREA LYNN PHAVISETH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248004

License Status

NOT RENEWED

Business

N

First Name

ANDREA

Middle

LYNN

Last Name

PHAVISETH

Business Name

ANDREA LYNN PHAVISETH

Original Issue Date

01/24/2017

Effective Date

01/24/2017

Expiration Date

03/31/2018

State

MN

Ever Disciplined

N

LastModifiedDate

06/19/2018