HEATHER J KITSEMBLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165655

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

KITSEMBLE

Business Name

HEATHER J KITSEMBLE

Original Issue Date

12/15/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008