SUSAN L MULDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088367

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

MULDER

Business Name

SUSAN L MULDER

Original Issue Date

11/23/1988

Effective Date

11/23/1988

Expiration Date

03/31/1995

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005