KATHERINE M NIESMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113928

License Status

NOT RENEWED

Business

First Name

KATHERINE M

Last Name

NIESMAN

Business Name

KATHERINE M NIESMAN

Original Issue Date

04/06/1996

Effective Date

04/06/1996

Expiration Date

03/31/1997

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005