BRIAN THOMAS BONK - Pharmacist License in Wisconsin | # 049184843

BRIAN THOMAS BONK

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184843

License Status

INACTIVE

Business

N

First Name

BRIAN

Middle

THOMAS

Last Name

BONK

Business Name

BRIAN THOMAS BONK

Original Issue Date

06/11/2008

Effective Date

06/11/2008

Expiration Date

03/31/2009

State

WI

Ever Disciplined

N

LastModifiedDate

01/06/2009