NISSA RAE DAHL - Pharmacist License in Wisconsin | # 049186900

NISSA RAE DAHL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186900

License Status

NOT RENEWED

Business

N

First Name

NISSA

Middle

RAE

Last Name

DAHL

Business Name

NISSA RAE DAHL

Original Issue Date

09/09/2008

Effective Date

03/08/2012

Expiration Date

03/31/2013

State

WI

Ever Disciplined

N

LastModifiedDate

05/06/2013