ELISA D GOLDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129467

License Status

NOT RENEWED

Business

First Name

ELISA

Middle

Last Name

GOLDEN

Business Name

ELISA D GOLDEN

Original Issue Date

02/22/2000

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SILVER LAKE

State

Zip

53170

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2009