FREDERICK MARTELL LYONS - Pharmacist License in Wisconsin | # 049158610

FREDERICK MARTELL LYONS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158610

License Status

NOT RENEWED

Business

N

First Name

FREDERICK

Middle

MARTELL

Last Name

LYONS

Business Name

FREDERICK MARTELL LYONS

Original Issue Date

12/27/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

WI

Ever Disciplined

N

LastModifiedDate

05/02/2008