LISA MARIE SEIBOLD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286315

License Status

INACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

SEIBOLD

Business Name

LISA MARIE SEIBOLD

Original Issue Date

10/09/1997

Effective Date

10/09/1997

Expiration Date

03/31/2000

City

MADISON

State

Zip

53716

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/06/2005