JENNIFER PUKHOVICH - Pharmacist License in Wisconsin | # 049155034

JENNIFER PUKHOVICH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155034

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Last Name

PUKHOVICH

Business Name

JENNIFER PUKHOVICH

Original Issue Date

06/11/2004

Effective Date

03/02/2012

Expiration Date

03/31/2013

State

WI

Ever Disciplined

N

LastModifiedDate

05/06/2013