ANDREA LYNN PHAVISETH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248004

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

LYNN

Last Name

PHAVISETH

Business Name

ANDREA LYNN PHAVISETH

Original Issue Date

01/24/2017

Effective Date

01/24/2017

Expiration Date

03/31/2018

City

MINNEAPOLIS

State

Zip

55429

County

MINNESOTA

Ever Disciplined

LastModifiedDate

06/19/2018