KRISTEN M HEIDEWALD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204692

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

HEIDEWALD

Prefix

Business Name

KRISTEN M HEIDEWALD

Original Issue Date

06/09/2011

Effective Date

01/25/2013

Expiration Date

03/31/2014

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2014