ANTISHA RUSSELL - Pharmacist License in Wisconsin | # 049252682

ANTISHA RUSSELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252682

License Status

NOT RENEWED

Business

N

First Name

ANTISHA

Last Name

RUSSELL

Business Name

ANTISHA RUSSELL

Original Issue Date

09/05/2017

Effective Date

03/21/2018

Expiration Date

03/31/2019

State

WI

Ever Disciplined

N

LastModifiedDate

07/15/2019