ELLEN ELIZABETH HEISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105121

License Status

NOT RENEWED

Business

First Name

ELLEN ELIZABETH

Last Name

HEISE

Business Name

ELLEN ELIZABETH HEISE

Original Issue Date

11/04/1993

Effective Date

03/10/2006

Expiration Date

03/31/2007

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

05/14/2007