HEIDI J S JEREMIAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115700

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

J S

Last Name

JEREMIAH

Business Name

HEIDI J S JEREMIAH

Original Issue Date

10/24/1996

Effective Date

10/24/1996

Expiration Date

03/31/1998

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005