JENNY L BONGARTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186511

License Status

NOT RENEWED

Business

First Name

JENNY

Middle

Last Name

BONGARTZ

Prefix

Business Name

JENNY L BONGARTZ

Original Issue Date

08/24/2008

Effective Date

01/05/2011

Expiration Date

03/31/2012

City

FARMINGTON

State

Zip

87401

Ever Disciplined

LastModifiedDate

05/07/2012