DIANNE M CHAMPLIN - Pharmacist License in Wisconsin | # 049077339

DIANNE M CHAMPLIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077339

License Status

NOT RENEWED

Business

N

First Name

DIANNE M

Last Name

CHAMPLIN

Business Name

DIANNE M CHAMPLIN

Original Issue Date

11/08/1982

Effective Date

11/08/1982

Expiration Date

03/31/1997

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005