RANDALL LEO ASUNTO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030886

License Status

NOT RENEWED

Business

First Name

RANDALL LEO

Last Name

ASUNTO

Business Name

RANDALL LEO ASUNTO

Original Issue Date

08/06/1976

Effective Date

08/06/1976

Expiration Date

01/01/1997

City

HARTFORD

State

Zip

53027

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005