MARY ELIZABETH KIERSMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133959

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELIZABETH

Last Name

KIERSMA

Business Name

MARY ELIZABETH KIERSMA

Original Issue Date

12/11/2000

Effective Date

12/11/2000

Expiration Date

03/31/2003

City

DEMOTTE

State

Zip

46310

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005