JEFFREY JOSEPH MITKA - Pharmacist License in Wisconsin | # 049073402

JEFFREY JOSEPH MITKA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073402

License Status

NOT RENEWED

Business

N

First Name

JEFFREY JOSEPH

Last Name

MITKA

Business Name

JEFFREY JOSEPH MITKA

Original Issue Date

08/01/1980

Effective Date

08/01/1980

Expiration Date

01/01/1997

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005