RENA ANN WIDBOOM - Pharmacist License in Minnesota | # 049149500

RENA ANN WIDBOOM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149500

License Status

NOT RENEWED

Business

N

First Name

RENA

Middle

ANN

Last Name

WIDBOOM

Business Name

RENA ANN WIDBOOM

Original Issue Date

07/15/2003

Effective Date

07/15/2003

Expiration Date

03/31/2005

State

MN

Ever Disciplined

N

LastModifiedDate

10/20/2005