HEIDI DANIEL KLUMB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092081

License Status

NOT RENEWED

Business

First Name

HEIDI DANIEL

Last Name

KLUMB

Business Name

HEIDI DANIEL KLUMB

Original Issue Date

01/24/1990

Effective Date

01/24/1990

Expiration Date

03/31/1991

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005