WALLACE W SHONG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022076

License Status

INACTIVE

Business

First Name

WALLACE W

Last Name

SHONG

Business Name

WALLACE W SHONG

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

AUGUSTA

State

Zip

54722

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005