MONICA L INCLAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179377

License Status

NOT RENEWED

Business

First Name

MONICA

Middle

Last Name

INCLAN

Business Name

MONICA L INCLAN

Original Issue Date

09/24/2007

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/12/2011