ERIC VAN HEUKELOM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038273

License Status

INACTIVE

Business

First Name

ERIC

Last Name

VAN HEUKELOM

Business Name

ERIC VAN HEUKELOM

Original Issue Date

04/16/1991

Effective Date

04/16/1991

Expiration Date

03/31/1992

City

CEDAR RAPIDS

State

Zip

52402

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005