LISA M MLODZIK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288030

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

MLODZIK

Business Name

LISA M MLODZIK

Original Issue Date

12/06/2000

Effective Date

12/06/2000

Expiration Date

03/31/2002

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/06/2005