HEIDI LARENE GRAWE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152900

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

LARENE

Last Name

GRAWE

Business Name

HEIDI LARENE GRAWE

Original Issue Date

01/16/2004

Effective Date

01/16/2004

Expiration Date

03/31/2005

City

TAYLOR RIDGE

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/20/2005