HEIDI LYNN WOLLBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161610

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

LYNN

Last Name

WOLLBERG

Business Name

HEIDI LYNN WOLLBERG

Original Issue Date

06/09/2005

Effective Date

06/09/2005

Expiration Date

03/31/2006

City

SCRIBNER

State

Zip

68057

County

NEBRASKA

Ever Disciplined

LastModifiedDate

05/11/2006