TRAVIS J GAJEWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236127

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

GAJEWSKI

Business Name

TRAVIS J GAJEWSKI

Original Issue Date

09/10/2015

Effective Date

09/10/2015

Expiration Date

03/31/2016

City

PONTOON BEACH

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/20/2016