MICHELLE LOOSE - Pharmacist License in Wisconsin | # 049198756

MICHELLE LOOSE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198756

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Last Name

LOOSE

Prefix

MR

Business Name

MICHELLE LOOSE

Original Issue Date

06/08/2010

Effective Date

01/28/2015

Expiration Date

03/31/2016

State

WI

Ever Disciplined

N

LastModifiedDate

05/20/2016