SHANNON BORHART - Pharmacist License in Wisconsin | # 049191872

SHANNON BORHART

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191872

License Status

INACTIVE

Business

N

First Name

SHANNON

Last Name

BORHART

Business Name

SHANNON BORHART

Original Issue Date

05/23/2009

Effective Date

05/23/2009

Expiration Date

03/31/2010

State

WI

Ever Disciplined

N

LastModifiedDate

01/12/2010