DAWN M STAVITZKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103614

License Status

NOT RENEWED

Business

First Name

DAWN M

Last Name

STAVITZKE

Business Name

DAWN M STAVITZKE

Original Issue Date

06/04/1993

Effective Date

06/04/1993

Expiration Date

03/31/1994

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005