SIMON J EISENBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072028

License Status

NOT RENEWED

Business

First Name

SIMON J

Last Name

EISENBERG

Business Name

SIMON J EISENBERG

Original Issue Date

10/19/1979

Effective Date

10/19/1979

Expiration Date

03/31/1989

City

SCOTTSDALE

State

Zip

85254

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005