MINNIE LOUSIE LUCKETTE - Pharmacist License in Wisconsin | # 049274887

MINNIE LOUSIE LUCKETTE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274887

License Status

NOT RENEWED

Business

N

First Name

MINNIE

Middle

LOUSIE

Last Name

LUCKETTE

Business Name

MINNIE LOUSIE LUCKETTE

Original Issue Date

08/07/2020

Effective Date

08/07/2020

Expiration Date

03/31/2021

State

WI

Ever Disciplined

N

LastModifiedDate

07/20/2021