HEATHER L WIDICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128440

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

WIDICK

Business Name

HEATHER L WIDICK

Original Issue Date

12/01/1999

Effective Date

12/01/1999

Expiration Date

03/31/2002

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

12/06/2005