WALLACE W SHONG - Pharmacist License in Wisconsin | # 051022076

WALLACE W SHONG

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022076

License Status

INACTIVE

Business

N

First Name

WALLACE W

Last Name

SHONG

Business Name

WALLACE W SHONG

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005