BRENDA HEAVNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069326

License Status

NOT RENEWED

Business

First Name

BRENDA

Last Name

HEAVNER

Business Name

BRENDA HEAVNER

Original Issue Date

05/12/1978

Effective Date

03/24/2021

Expiration Date

05/31/2022

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

07/27/2022