ANDREA TREASE SMALLWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116270

License Status

NOT RENEWED

Business

First Name

ANDREA TREASE

Last Name

SMALLWOOD

Business Name

ANDREA TREASE SMALLWOOD

Original Issue Date

12/31/1996

Effective Date

12/31/1996

Expiration Date

03/31/2000

City

SALEM

State

Zip

53168

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/21/2005