HEATHER ANN WOODSIDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125458

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

ANN

Last Name

WOODSIDE

Business Name

HEATHER ANN WOODSIDE

Original Issue Date

04/14/1999

Effective Date

04/14/1999

Expiration Date

03/31/2002

City

LATHAM

State

Zip

62543

County

LOGAN

Ever Disciplined

LastModifiedDate

12/06/2005