ANDREA TREASE SMALLWOOD - Pharmacist License in Wisconsin | # 049116270

ANDREA TREASE SMALLWOOD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116270

License Status

NOT RENEWED

Business

N

First Name

ANDREA TREASE

Last Name

SMALLWOOD

Business Name

ANDREA TREASE SMALLWOOD

Original Issue Date

12/31/1996

Effective Date

12/31/1996

Expiration Date

03/31/2000

State

WI

Ever Disciplined

N

LastModifiedDate

10/21/2005