JON D HERDRICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146336

License Status

NOT RENEWED

Business

First Name

JON

Middle

Last Name

HERDRICH

Business Name

JON D HERDRICH

Original Issue Date

12/12/2002

Effective Date

12/12/2002

Expiration Date

03/31/2004

City

WEST BEND

State

Zip

53095

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/20/2005