PAIGE D BAKKUM - Pharmacist License in Wisconsin | # 049242784

PAIGE D BAKKUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242784

License Status

NOT RENEWED

Business

N

First Name

PAIGE

Middle

D

Last Name

BAKKUM

Business Name

PAIGE D BAKKUM

Original Issue Date

06/28/2016

Effective Date

02/20/2018

Expiration Date

03/31/2019

State

WI

Ever Disciplined

N

LastModifiedDate

07/15/2019