JASON VAN MAI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153513

License Status

NOT RENEWED

Business

First Name

JASON

Middle

VAN

Last Name

MAI

Business Name

JASON VAN MAI

Original Issue Date

03/09/2004

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

KENOSHA

State

Zip

53143

County

LAKE

Ever Disciplined

LastModifiedDate

07/20/2021