JOHN H SAMUELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027273

License Status

NOT RENEWED

Business

First Name

JOHN H

Last Name

SAMUELSON

Business Name

JOHN H SAMUELSON

Original Issue Date

01/01/1997

Effective Date

01/29/2010

Expiration Date

03/31/2012

City

GRANTSBURG

State

Zip

54840

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/07/2012

Case Number

1991004024

Action

Probation

Discipline Start Date

01/10/1992

Discipline End Date

09/13/2000

Discipline Reason

Disciplined in Wisconsin.