REGINA A MUMFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108986

License Status

NOT RENEWED

Business

First Name

REGINA A

Last Name

MUMFORD

Business Name

REGINA A MUMFORD

Original Issue Date

12/02/1994

Effective Date

12/02/1994

Expiration Date

03/31/1998

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005