LARRY WILLIAM SEIBERT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036136

License Status

INACTIVE

Business

First Name

LARRY WILLIAM

Last Name

SEIBERT

Business Name

LARRY WILLIAM SEIBERT

Original Issue Date

04/02/1986

Effective Date

04/02/1986

Expiration Date

03/31/2004

City

MADISON

State

Zip

53719

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/06/2005