Wisconsin
Department of Safety and Professional Services
Block, NISSA R
Pharmacist
License number
16817-40
Date granted
08/02/2012
Date expires
05/31/2016
Class
Pharmacist
Status
Active
wisconsinlicensing.org
ID 36445346
LAST UPDATED 2026-05-14 02:12:54 UTC
LAST UPDATED 2026-05-14 02:12:54 UTC
This website is unaffiliated with the Department of Safety and Professional Services. Please verify all information directly with the relevant official government authority.