ANTENIA F SIMON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142085

License Status

NOT RENEWED

Business

First Name

ANTENIA

Middle

Last Name

SIMON

Business Name

ANTENIA F SIMON

Original Issue Date

05/02/2002

Effective Date

05/02/2002

Expiration Date

03/31/2004

City

UNION GROVE

State

Zip

53182

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/20/2005