KELLY JO BUSSAN - Pharmacist License in Wisconsin | # 049303964

KELLY JO BUSSAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049303964

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

JO

Last Name

BUSSAN

Business Name

KELLY JO BUSSAN

Original Issue Date

07/10/2023

Effective Date

07/10/2023

Expiration Date

03/31/2024

State

WI

Ever Disciplined

N

LastModifiedDate

01/03/2025