DIVINAE B ANDALES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220668

License Status

NOT RENEWED

Business

First Name

DIVINAE

Middle

Last Name

ANDALES

Prefix

Business Name

DIVINAE B ANDALES

Original Issue Date

09/09/2013

Effective Date

07/18/2014

Expiration Date

03/31/2015

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/11/2015