MOHAMMAD SULTAN MALLICK - Pharmacist License in Wisconsin | # 051030199

MOHAMMAD SULTAN MALLICK

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030199

License Status

INACTIVE

Business

N

First Name

MOHAMMAD SULTAN

Last Name

MALLICK

Business Name

MOHAMMAD SULTAN MALLICK

Original Issue Date

09/16/1974

Effective Date

09/16/1974

Expiration Date

03/31/1990

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005