VALERIE L RAVENNA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164019

License Status

NOT RENEWED

Business

First Name

VALERIE

Middle

Last Name

RAVENNA

Business Name

VALERIE L RAVENNA

Original Issue Date

09/20/2005

Effective Date

03/17/2010

Expiration Date

03/31/2011

City

OCONOMOWOC

State

Zip

53066

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/12/2011