HEATHER MARIE KWIATKOWSKI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051299001

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

MARIE

Last Name

KWIATKOWSKI

Business Name

HEATHER MARIE KWIATKOWSKI

Original Issue Date

09/02/2015

Effective Date

03/07/2018

Expiration Date

09/30/2020

City

FORT WAYNE

State

Zip

46845

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021