CHRISTINA DAWN KOUKOL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051291393

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

DAWN

Last Name

KOUKOL

Business Name

CHRISTINA DAWN KOUKOL

Original Issue Date

08/21/2006

Effective Date

02/20/2020

Expiration Date

07/31/2022

City

BEAVER DAM

State

Zip

53916

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2022