MARY SUSAN SCALISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059388

License Status

NOT RENEWED

Business

First Name

MARY SUSAN

Last Name

SCALISE

Business Name

MARY SUSAN SCALISE

Original Issue Date

04/13/1973

Effective Date

04/13/1973

Expiration Date

01/01/1997

City

WOOD RIBER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005