TERRY HEITMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072528

License Status

NOT RENEWED

Business

First Name

TERRY

Last Name

HEITMAN

Business Name

TERRY HEITMAN

Original Issue Date

02/19/1980

Effective Date

02/19/1980

Expiration Date

03/31/1986

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005