TRAVIS JOHN LASELLE - Pharmacist License in Washington | # 049143611

TRAVIS JOHN LASELLE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143611

License Status

NOT RENEWED

Business

N

First Name

TRAVIS

Middle

JOHN

Last Name

LASELLE

Business Name

TRAVIS JOHN LASELLE

Original Issue Date

07/11/2002

Effective Date

07/11/2002

Expiration Date

03/31/2003

State

WA

Ever Disciplined

N

LastModifiedDate

10/20/2005