CALEB BRIAN ROSENBALM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212479

License Status

NOT RENEWED

Business

First Name

CALEB

Middle

BRIAN

Last Name

ROSENBALM

Business Name

CALEB BRIAN ROSENBALM

Original Issue Date

07/27/2012

Effective Date

03/02/2015

Expiration Date

03/31/2016

City

WATERFORD

State

Zip

53185

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/20/2016