MOHAMMAD SULTAN MALLICK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030199

License Status

INACTIVE

Business

First Name

MOHAMMAD SULTAN

Last Name

MALLICK

Business Name

MOHAMMAD SULTAN MALLICK

Original Issue Date

09/16/1974

Effective Date

09/16/1974

Expiration Date

03/31/1990

City

BROWN DEER

State

Zip

53223

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005