JACQUELINE CAPINPIN LATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265072

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

CAPINPIN

Last Name

LATA

Business Name

JACQUELINE CAPINPIN LATA

Original Issue Date

05/02/2019

Effective Date

05/02/2019

Expiration Date

09/30/2020

City

EWA BEACH

State

Zip

96706

Ever Disciplined

LastModifiedDate

01/08/2021