REGINA DIANA HEADEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098994

License Status

NOT RENEWED

Business

First Name

REGINA

Middle

DIANA

Last Name

HEADEN

Business Name

REGINA DIANA HEADEN

Original Issue Date

12/23/1991

Effective Date

10/05/2021

Expiration Date

05/31/2022

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/27/2022