GRACE ELAINE NEIDHARDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254985

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

ELAINE

Last Name

NEIDHARDT

Business Name

GRACE ELAINE NEIDHARDT

Original Issue Date

12/12/2017

Effective Date

12/12/2017

Expiration Date

03/31/2018

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

06/19/2018