LISA S ROUSSELL - Pharmacist License in Wisconsin | # 049149629

LISA S ROUSSELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149629

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

S

Last Name

ROUSSELL

Business Name

LISA S ROUSSELL

Original Issue Date

07/29/2003

Effective Date

04/21/2016

Expiration Date

03/31/2017

State

WI

Ever Disciplined

N

LastModifiedDate

05/10/2017