JESSICA PHAN - Pharmacist License in Wisconsin | # 049198436

JESSICA PHAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198436

License Status

NOT RENEWED

Business

N

First Name

JESSICA

Last Name

PHAN

Business Name

JESSICA PHAN

Original Issue Date

05/18/2010

Effective Date

05/18/2010

Expiration Date

03/31/2011

State

WI

Ever Disciplined

N

LastModifiedDate

05/12/2011