MARY ELIZABETH KIERSMA - Pharmacist License in Indiana | # 049133959

MARY ELIZABETH KIERSMA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133959

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

ELIZABETH

Last Name

KIERSMA

Business Name

MARY ELIZABETH KIERSMA

Original Issue Date

12/11/2000

Effective Date

12/11/2000

Expiration Date

03/31/2003

State

IN

Ever Disciplined

N

LastModifiedDate

10/20/2005