MALIA L HEISE - Pharmacist License in Wisconsin | # 049171629

MALIA L HEISE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171629

License Status

NOT RENEWED

Business

N

First Name

MALIA

Middle

L

Last Name

HEISE

Business Name

MALIA L HEISE

Original Issue Date

09/26/2006

Effective Date

09/26/2006

Expiration Date

03/31/2007

State

WI

Ever Disciplined

N

LastModifiedDate

05/14/2007