SCOTT M HEYERDAHL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083108

License Status

NOT RENEWED

Business

First Name

SCOTT M

Last Name

HEYERDAHL

Business Name

SCOTT M HEYERDAHL

Original Issue Date

07/31/1986

Effective Date

07/31/1986

Expiration Date

03/31/1987

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005