THOMAS GLENN PANGBORN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029228

License Status

INACTIVE

Business

First Name

THOMAS GLENN

Last Name

PANGBORN

Business Name

THOMAS GLENN PANGBORN

Original Issue Date

08/05/1972

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

ROSWELL

State

Zip

88201

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

01/10/2008