KATHLEEN MICHELLE HEIDEMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208064

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

MICHELLE

Last Name

HEIDEMANN

Business Name

KATHLEEN MICHELLE HEIDEMANN

Original Issue Date

11/30/2011

Effective Date

03/09/2012

Expiration Date

03/31/2013

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

05/06/2013