GREG KENT HEISEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118819

License Status

NOT RENEWED

Business

First Name

GREG

Middle

KENT

Last Name

HEISEL

Business Name

GREG KENT HEISEL

Original Issue Date

09/09/1997

Effective Date

09/09/1997

Expiration Date

03/31/1998

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005