ANDREW W ROUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160261

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

ROUSE

Business Name

ANDREW W ROUSE

Original Issue Date

04/18/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

GREEN BAY

State

Zip

54304

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/20/2011