CANDACE LOUSE GROSS-HEIDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187017

License Status

NOT RENEWED

Business

First Name

CANDACE

Middle

LOUSE

Last Name

GROSS-HEIDER

Business Name

CANDACE LOUSE GROSS-HEIDER

Original Issue Date

09/16/2008

Effective Date

03/10/2020

Expiration Date

03/31/2021

City

RUTLAND

State

Zip

61358

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/20/2021