DANELE D MUNDTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134215

License Status

NOT RENEWED

Business

First Name

DANELE

Middle

Last Name

MUNDTH

Business Name

DANELE D MUNDTH

Original Issue Date

12/26/2000

Effective Date

12/26/2000

Expiration Date

03/31/2003

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/20/2005