HEIDI D GUNDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106519

License Status

NOT RENEWED

Business

First Name

HEIDI D

Last Name

GUNDERSON

Business Name

HEIDI D GUNDERSON

Original Issue Date

04/06/1994

Effective Date

04/06/1994

Expiration Date

03/31/1999

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005