TINA ANN FONCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201736

License Status

NOT RENEWED

Business

First Name

TINA

Middle

ANN

Last Name

FONCK

Business Name

TINA ANN FONCK

Original Issue Date

11/30/2010

Effective Date

03/21/2016

Expiration Date

03/31/2017

City

WATFORD CITY

State

Zip

58854

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

05/10/2017