DANIEL POBLETE TAN - Pharmacist License in New Jersey | # 049186017

DANIEL POBLETE TAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186017

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

POBLETE

Last Name

TAN

Business Name

DANIEL POBLETE TAN

Original Issue Date

08/07/2008

Effective Date

08/07/2008

Expiration Date

03/31/2009

State

NJ

Ever Disciplined

N

LastModifiedDate

05/06/2009