HEIDI S SPORTSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069752

License Status

NOT RENEWED

Business

First Name

HEIDI S

Last Name

SPORTSMAN

Business Name

HEIDI S SPORTSMAN

Original Issue Date

07/14/1978

Effective Date

07/14/1978

Expiration Date

01/01/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005