LYNN HEITLAND Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064131

License Status

NOT RENEWED

Business

First Name

LYNN

Last Name

HEITLAND

Business Name

LYNN HEITLAND

Original Issue Date

09/05/1975

Effective Date

09/05/1975

Expiration Date

01/01/1997

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005