CHRISTINA DAWN KOUKOL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138328

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

DAWN

Last Name

KOUKOL

Business Name

CHRISTINA DAWN KOUKOL

Original Issue Date

09/17/2001

Effective Date

05/05/2006

Expiration Date

03/31/2007

City

BEAVER DAM

State

Zip

53916

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/14/2007