DIANA ROSE HEIZER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108467

License Status

NOT RENEWED

Business

First Name

DIANA ROSE

Last Name

HEIZER

Business Name

DIANA ROSE HEIZER

Original Issue Date

10/17/1994

Effective Date

10/17/1994

Expiration Date

03/31/1999

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005