TINA ANN FONCK - Pharmacist License in North Dakota | # 049201736

TINA ANN FONCK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201736

License Status

NOT RENEWED

Business

N

First Name

TINA

Middle

ANN

Last Name

FONCK

Business Name

TINA ANN FONCK

Original Issue Date

11/30/2010

Effective Date

03/21/2016

Expiration Date

03/31/2017

State

ND

Ever Disciplined

N

LastModifiedDate

05/10/2017