CRYSTAL R LENNARTZ Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290211

License Status

INACTIVE

Business

First Name

CRYSTAL

Middle

Last Name

LENNARTZ

Business Name

CRYSTAL R LENNARTZ

Original Issue Date

10/07/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

PEWAUKEE

State

Zip

53072

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/10/2008