RegDetail

Last Updated:  12/14/2018 5:27:13 AM

Pharmacist Detail                        

Name 

VOID Computer locked up VOID * record in progress not saved

Type 

Doctor of Pharmacy 

Number

15830 

Class

Inactive 

City, State, Zip

,   

Status

CANCELED

Issue Date 

09/18/2014 

Renewed Date

Expire Date 

09/18/2014 

End Date 

09/18/2014 

Preceptor?

No 

Immunization?

No 
 

Disciplinary Action
Click on any of the Underlined headings to sort by that column.
Case Date   Case Number  
No Disciplinary Action 
 

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