KELLI A HEAVEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109221

License Status

NOT RENEWED

Business

First Name

KELLI A

Last Name

HEAVEY

Business Name

KELLI A HEAVEY

Original Issue Date

01/10/1995

Effective Date

01/10/1995

Expiration Date

03/31/1996

City

GENOA

State

Zip

60135

County

DEKALB

Ever Disciplined

LastModifiedDate

10/17/2005