DAVID GEROGE LATTOS - Pharmacist License in Wisconsin | # 051029041

DAVID GEROGE LATTOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029041

License Status

NOT RENEWED

Business

N

First Name

DAVID GEROGE

Last Name

LATTOS

Business Name

DAVID GEROGE LATTOS

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005