IRINE SHIRE TANJONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206867

License Status

NOT RENEWED

Business

First Name

IRINE

Middle

SHIRE

Last Name

TANJONG

Business Name

IRINE SHIRE TANJONG

Original Issue Date

09/22/2011

Effective Date

03/05/2015

Expiration Date

03/31/2016

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/20/2016