VIRGINIA BANTOG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203353

License Status

NOT RENEWED

Business

First Name

VIRGINIA

Last Name

BANTOG

Business Name

VIRGINIA BANTOG

Original Issue Date

03/28/2011

Effective Date

04/11/2017

Expiration Date

03/31/2018

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

06/19/2018