PAMELA JEAN PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212718

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

JEAN

Last Name

PAYNE

Business Name

PAMELA JEAN PAYNE

Original Issue Date

08/06/2012

Effective Date

02/03/2017

Expiration Date

03/31/2018

City

BEAVER DAM

State

Zip

53916

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/19/2018