JALISA J ACOSTA - Pharmacist License in Wisconsin | # 049267743

JALISA J ACOSTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267743

License Status

NOT RENEWED

Business

N

First Name

JALISA

Middle

J

Last Name

ACOSTA

Business Name

JALISA J ACOSTA

Original Issue Date

09/06/2019

Effective Date

09/06/2019

Expiration Date

09/30/2020

State

WI

Ever Disciplined

N

LastModifiedDate

01/08/2021