JASON VAN MAI - Pharmacist License in Wisconsin | # 049153513

JASON VAN MAI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153513

License Status

NOT RENEWED

Business

N

First Name

JASON

Middle

VAN

Last Name

MAI

Business Name

JASON VAN MAI

Original Issue Date

03/09/2004

Effective Date

01/04/2020

Expiration Date

03/31/2021

State

WI

Ever Disciplined

N

LastModifiedDate

07/20/2021