DANIEL POBLETE TAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186017

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

POBLETE

Last Name

TAN

Business Name

DANIEL POBLETE TAN

Original Issue Date

08/07/2008

Effective Date

08/07/2008

Expiration Date

03/31/2009

City

JERSEY CITY

State

Zip

07302

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

05/06/2009