IRINE SHIRE TANJONG - Pharmacist License in Wisconsin | # 049206867

IRINE SHIRE TANJONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206867

License Status

NOT RENEWED

Business

N

First Name

IRINE

Middle

SHIRE

Last Name

TANJONG

Business Name

IRINE SHIRE TANJONG

Original Issue Date

09/22/2011

Effective Date

03/05/2015

Expiration Date

03/31/2016

State

WI

Ever Disciplined

N

LastModifiedDate

05/20/2016