KALI LEANN WIDENER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049278612

License Status

NOT RENEWED

Business

First Name

KALI

Middle

LEANN

Last Name

WIDENER

Business Name

KALI LEANN WIDENER

Original Issue Date

01/12/2021

Effective Date

03/05/2022

Expiration Date

03/31/2023

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

09/07/2023