PAGEN JADE ASHTIANI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198297

License Status

NOT RENEWED

Business

First Name

PAGEN

Middle

JADE

Last Name

ASHTIANI

Business Name

PAGEN JADE ASHTIANI

Original Issue Date

05/11/2010

Effective Date

04/09/2013

Expiration Date

03/31/2014

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/06/2014