STEPHANIE A FONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186758

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

FONG

Prefix

Business Name

STEPHANIE A FONG

Original Issue Date

08/29/2008

Effective Date

12/01/2009

Expiration Date

03/31/2010

City

SCOTTSDALE

State

Zip

85255

County

ARIZONA

Ever Disciplined

LastModifiedDate

05/04/2010