PARKER G MORTENSEN - Pharmacist License in Wisconsin | # 049240092

PARKER G MORTENSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240092

License Status

NOT RENEWED

Business

N

First Name

PARKER

Middle

G

Last Name

MORTENSEN

Business Name

PARKER G MORTENSEN

Original Issue Date

03/12/2016

Effective Date

03/29/2023

Expiration Date

03/31/2024

State

WI

Ever Disciplined

N

LastModifiedDate

01/03/2025