ANDREW W ROUSE - Pharmacist License in Wisconsin | # 049160261

ANDREW W ROUSE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160261

License Status

NOT RENEWED

Business

N

First Name

ANDREW

Middle

W

Last Name

ROUSE

Business Name

ANDREW W ROUSE

Original Issue Date

04/18/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

WI

Ever Disciplined

N

LastModifiedDate

01/20/2011