LOUISE A BORST Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029339

License Status

INACTIVE

Business

First Name

LOUISE A

Last Name

BORST

Business Name

LOUISE A BORST

Original Issue Date

09/14/1972

Effective Date

04/02/2012

Expiration Date

03/31/2014

City

TREVOR

State

Zip

53179

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/09/2014