STEPHANIE A FONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051294617

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

FONG

Prefix

Business Name

STEPHANIE A FONG

Original Issue Date

09/30/2010

Effective Date

02/20/2014

Expiration Date

03/31/2016

City

SCOTTSDALE

State

Zip

85255

County

ARIZONA

Ever Disciplined

LastModifiedDate

05/20/2016