MADELINE A MONGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212038

License Status

NOT RENEWED

Business

First Name

MADELINE

Middle

Last Name

MONGAN

Business Name

MADELINE A MONGAN

Original Issue Date

07/09/2012

Effective Date

03/26/2013

Expiration Date

03/31/2014

City

OREGON

State

Zip

61061

County

OGLE

Ever Disciplined

LastModifiedDate

05/06/2014