JOSEFINA M LONTOK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032165

License Status

INACTIVE

Business

First Name

JOSEFINA M

Last Name

LONTOK

Business Name

JOSEFINA M LONTOK

Original Issue Date

08/17/1978

Effective Date

08/17/1978

Expiration Date

03/31/1994

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005