JEAN A KIERGAARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079111

License Status

NOT RENEWED

Business

First Name

JEAN A

Last Name

KIERGAARD

Business Name

JEAN A KIERGAARD

Original Issue Date

10/28/1983

Effective Date

10/28/1983

Expiration Date

03/31/1989

City

OREGON

State

Zip

61061

County

OGLE

Ever Disciplined

LastModifiedDate

10/17/2005