CARL FREDERICK MUCKERHEIDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180201

License Status

NOT RENEWED

Business

First Name

CARL

Middle

FREDERICK

Last Name

MUCKERHEIDE

Business Name

CARL FREDERICK MUCKERHEIDE

Original Issue Date

10/29/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

WEST GREENWICH

State

Zip

02817

Ever Disciplined

LastModifiedDate

05/06/2009