PENG SONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156831

License Status

NOT RENEWED

Business

First Name

PENG

Last Name

SONG

Business Name

PENG SONG

Original Issue Date

08/23/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/02/2008