ANTENIA F SIMON - Pharmacist License in Wisconsin | # 049142085

ANTENIA F SIMON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142085

License Status

NOT RENEWED

Business

N

First Name

ANTENIA

Middle

F

Last Name

SIMON

Business Name

ANTENIA F SIMON

Original Issue Date

05/02/2002

Effective Date

05/02/2002

Expiration Date

03/31/2004

State

WI

Ever Disciplined

N

LastModifiedDate

10/20/2005