COMMONWEALTH OF MASSACHUSETTS

SUFFOLK COUNTY				                  BOARD OF REGISTRATION
							                  IN PHARMACY
      _______________________________________
                                                                                   
      In the Matter of		                                   			
      Yan Yan                                                                               Docket No. 2011-0252
      Reg. No. PT 9013 Expired (Exp. 06/11/2011)   
      ______________________________________                                                                                

VOLUNTARY SURRENDER STATEMENT

I, Yan Yan (Reg. No. PT 9013, Expired), do voluntarily surrender my license to practice as a pharmacy technician in the Commonwealth of Massachusetts to the Board of Registration in Pharmacy (Board) and do state to the Board:

l.    I hereby voluntarily surrender my license to practice as a pharmacy technician in the      
      Commonwealth of Massachusetts (Reg. No. PT 9013, Expired) together with any right   
      to renew my license to the Board, effective as of the date of my signature hereto;
2.   I acknowledge and agree that I have surrendered my license to the Board in resolution  
      of Complaint Docket No. 2011-0252 (Complaint);
3.   I understand that surrender of my license is considered to be a reportable disciplinary act
      which deprives me of all privileges of registration; that my 
      surrender is not subject to reconsideration or judicial review; and that I am waiving 
      my right to a hearing pursuant to G.L. c. 30A regarding the Complaint;
 4.  I will surrender any current license or registration to practice as a pharmacy technician
      issued by any other jurisdiction effective as of the date of my signature hereto and will not
      apply or attempt to gain licensure as a pharmacy technician or to renew any pharmacy
      technician license previously issued by any other jurisdiction; and
5.    I acknowledge that I have been provided the opportunity to consult legal counsel 
       regarding my decision to execute this statement and surrender my license and that my    
       decision to execute this statement and surrender my license was made of my own free  
       will.

SIGNED UNDER THE PAINS AND PENALTIES OF PERJURY this 23rd day of
September 2011.

     Yan Yan
     [redacted]