DALE HEISE - Pharmacist License in Kentucky | # 051026890

DALE HEISE

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026890

License Status

INACTIVE

Business

N

First Name

DALE

Last Name

HEISE

Business Name

DALE HEISE

Original Issue Date

01/01/1997

Effective Date

02/17/2010

Expiration Date

03/31/2012

State

KY

Ever Disciplined

N

LastModifiedDate

01/12/2012