HEATHER JO CLEVENGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122143

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

CLEVENGER

Business Name

HEATHER JO CLEVENGER

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

03/31/2004

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/20/2005