MAKENNA AUBREY MONGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250948

License Status

NOT RENEWED

Business

First Name

MAKENNA

Middle

AUBREY

Last Name

MONGAN

Business Name

MAKENNA AUBREY MONGAN

Original Issue Date

05/31/2017

Effective Date

01/16/2018

Expiration Date

03/31/2019

City

OREGON

State

Zip

61061

County

OGLE

Ever Disciplined

LastModifiedDate

07/15/2019