AUDREY LISA LAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218542

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

LISA

Last Name

LAN

Business Name

AUDREY LISA LAN

Original Issue Date

06/06/2013

Effective Date

02/11/2016

Expiration Date

03/31/2017

City

GILBERT

State

Zip

85233

County

ARIZONA

Ever Disciplined

LastModifiedDate

05/10/2017