GABRIELLE I LUNDGREN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228190

License Status

NOT RENEWED

Business

First Name

GABRIELLE

Middle

Last Name

LUNDGREN

Prefix

Business Name

GABRIELLE I LUNDGREN

Original Issue Date

09/29/2014

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/20/2016