ANTHONY J FIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290522

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

FIELDS

Business Name

ANTHONY J FIELDS

Original Issue Date

06/10/2005

Effective Date

03/29/2016

Expiration Date

03/31/2018

City

MENOMONEE FALLS

State

Zip

53051

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/19/2018