MICHAEL SCOTT MADDOX - Pharmacist License in Wisconsin | # 049126771

MICHAEL SCOTT MADDOX

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126771

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

SCOTT

Last Name

MADDOX

Business Name

MICHAEL SCOTT MADDOX

Original Issue Date

07/26/1999

Effective Date

07/26/1999

Expiration Date

03/31/2000

State

WI

Ever Disciplined

N

LastModifiedDate

10/21/2005