DONALD E BOERSMA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026301

License Status

INACTIVE

Business

First Name

DONALD E

Last Name

BOERSMA

Business Name

DONALD E BOERSMA

Original Issue Date

01/01/1997

Effective Date

02/06/2012

Expiration Date

03/31/2014

City

GREEN BAY

State

Zip

54301

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/09/2014