MARY DAWN FOLTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060077

License Status

NOT RENEWED

Business

First Name

MARY DAWN

Last Name

FOLTMAN

Business Name

MARY DAWN FOLTMAN

Original Issue Date

08/17/1973

Effective Date

08/17/1973

Expiration Date

01/01/1997

City

ZENDA

State

Zip

53195

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005