TERRY HEINEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059368

License Status

NOT RENEWED

Business

First Name

TERRY

Last Name

HEINEMAN

Business Name

TERRY HEINEMAN

Original Issue Date

04/13/1973

Effective Date

04/13/1973

Expiration Date

01/01/1997

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005