SHELLEY JEAN BUCKHOLTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103440

License Status

NOT RENEWED

Business

First Name

SHELLEY JEAN

Last Name

BUCKHOLTZ

Business Name

SHELLEY JEAN BUCKHOLTZ

Original Issue Date

05/15/1993

Effective Date

05/15/1993

Expiration Date

03/31/1997

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005