KATHY S HEINZMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113671

License Status

NOT RENEWED

Business

First Name

KATHY S

Last Name

HEINZMAN

Business Name

KATHY S HEINZMAN

Original Issue Date

03/16/1996

Effective Date

03/16/1996

Expiration Date

03/31/1997

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005