MICHAEL T ZAGELOW Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290347

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

Last Name

ZAGELOW

Business Name

MICHAEL T ZAGELOW

Original Issue Date

01/19/2005

Effective Date

06/16/2016

Expiration Date

03/31/2018

City

MILTON

State

Zip

53563

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/16/2016