MICHELLE C KRUMWIEDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141558

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

KRUMWIEDE

Business Name

MICHELLE C KRUMWIEDE

Original Issue Date

03/27/2002

Effective Date

03/27/2002

Expiration Date

03/31/2005

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/20/2005