SUSAN WIDLOSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033480

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

WIDLOSKI

Business Name

SUSAN WIDLOSKI

Original Issue Date

11/12/1980

Effective Date

11/12/1980

Expiration Date

03/31/1988

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005