JUDITH C BANASIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097800

License Status

NOT RENEWED

Business

First Name

JUDITH C

Last Name

BANASIK

Business Name

JUDITH C BANASIK

Original Issue Date

08/22/1991

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

EAST TROY

State

Zip

53120

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/02/2008