JON M REAVIS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028265

License Status

INACTIVE

Business

First Name

JON M

Last Name

REAVIS

Business Name

JON M REAVIS

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005