CHAD M HIETSCHOLD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196885

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

Last Name

HIETSCHOLD

Prefix

Business Name

CHAD M HIETSCHOLD

Original Issue Date

02/19/2010

Effective Date

01/24/2011

Expiration Date

03/31/2012

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

05/07/2012