Wisconsin
Department of Safety and Professional Services
Fossum, Brian James
Pharmacist
License number
10169-40
Date granted
06/04/1982
Date expires
05/31/2014
Class
Pharmacist
Status
Active
wisconsinlicensing.org
ID 13167563
LAST UPDATED 2024-04-30 18:34:09 UTC
LAST UPDATED 2024-04-30 18:34:09 UTC
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