KRISTINE F LIDGARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086957

License Status

NOT RENEWED

Business

First Name

KRISTINE F

Last Name

LIDGARD

Business Name

KRISTINE F LIDGARD

Original Issue Date

06/11/1988

Effective Date

02/05/2013

Expiration Date

03/31/2014

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2014