MAXINE TRAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196607

License Status

NOT RENEWED

Business

First Name

MAXINE

Last Name

TRAN

Business Name

MAXINE TRAN

Original Issue Date

02/03/2010

Effective Date

02/28/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012