CORBALAN JUAN C LOPEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088549

License Status

NOT RENEWED

Business

First Name

CORBALAN JUAN C

Last Name

LOPEZ

Business Name

CORBALAN JUAN C LOPEZ

Original Issue Date

12/20/1988

Effective Date

12/20/1988

Expiration Date

03/31/1990

City

MILWAUKEE

State

Zip

53220

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005