MANSEL B LEEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

ASSISTANT PHARMACIST

License Number

050008823

License Status

NOT RENEWED

Business

First Name

MANSEL B

Last Name

LEEK

Business Name

MANSEL B LEEK

Original Issue Date

01/01/1998

City

STOUGHTON

State

Zip

53589

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005