PAIGE M NEISEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164541

License Status

NOT RENEWED

Business

First Name

PAIGE

Middle

Last Name

NEISEN

Business Name

PAIGE M NEISEN

Original Issue Date

10/03/2005

Effective Date

02/18/2020

Expiration Date

03/31/2021

City

FOWLER

State

Zip

62338

County

ADAMS

Ever Disciplined

LastModifiedDate

07/20/2021