DALE HEISE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026890

License Status

INACTIVE

Business

First Name

DALE

Last Name

HEISE

Business Name

DALE HEISE

Original Issue Date

01/01/1997

Effective Date

02/17/2010

Expiration Date

03/31/2012

City

HARRODSBURG

State

Zip

40330

County

KENTUCKY

Ever Disciplined

LastModifiedDate

01/12/2012