CHRISTINA THUY TIEN TRAN-JERGENSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204570

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

THUY TIEN

Last Name

TRAN-JERGENSON

Business Name

CHRISTINA THUY TIEN TRAN-JERGENSON

Original Issue Date

06/01/2011

Effective Date

03/08/2017

Expiration Date

03/31/2018

City

LA CROSSE

State

Zip

54601

Ever Disciplined

LastModifiedDate

06/19/2018