BRIAN D SCHULTZ Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039085

License Status

INACTIVE

Business

First Name

BRIAN

Middle

Last Name

SCHULTZ

Business Name

BRIAN D SCHULTZ

Original Issue Date

10/19/1992

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

CEDARBURG

State

Zip

53012

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/18/2006