DAVID L HEADLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054195

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

HEADLEY

Business Name

DAVID L HEADLEY

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

10/17/2005