ANGELICA M HERSEMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160529

License Status

NOT RENEWED

Business

First Name

ANGELICA

Middle

Last Name

HERSEMANN

Business Name

ANGELICA M HERSEMANN

Original Issue Date

04/22/2005

Effective Date

04/22/2005

Expiration Date

03/31/2006

City

WASHINGTON

State

Zip

61571

Ever Disciplined

LastModifiedDate

05/11/2006