JESSICA PHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198436

License Status

NOT RENEWED

Business

First Name

JESSICA

Last Name

PHAN

Business Name

JESSICA PHAN

Original Issue Date

05/18/2010

Effective Date

05/18/2010

Expiration Date

03/31/2011

City

GREENFIELD

State

Zip

53221

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/12/2011