HEATHER DIANE MIKRUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166342

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

DIANE

Last Name

MIKRUT

Business Name

HEATHER DIANE MIKRUT

Original Issue Date

01/27/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

05/02/2008