MALIA L HEISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171629

License Status

NOT RENEWED

Business

First Name

MALIA

Middle

Last Name

HEISE

Business Name

MALIA L HEISE

Original Issue Date

09/26/2006

Effective Date

09/26/2006

Expiration Date

03/31/2007

City

FRANKLIN

State

Zip

53132

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/14/2007