TINA M BORST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209307

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

BORST

Prefix

Business Name

TINA M BORST

Original Issue Date

02/22/2012

Effective Date

02/04/2013

Expiration Date

03/31/2014

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2014