HEATHER M KVIDERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165773

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

KVIDERA

Business Name

HEATHER M KVIDERA

Original Issue Date

12/27/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

GENOA CITY

State

Zip

53128

Ever Disciplined

LastModifiedDate

05/02/2008