LANA RENE PONCE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239917

License Status

INACTIVE

Business

First Name

LANA

Middle

RENE

Last Name

PONCE

Business Name

LANA RENE PONCE

Original Issue Date

03/03/2016

Effective Date

03/26/2019

Expiration Date

09/30/2020

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

01/04/2020