BRIAN HEADTKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124356

License Status

NOT RENEWED

Business

First Name

BRIAN

Last Name

HEADTKE

Business Name

BRIAN HEADTKE

Original Issue Date

12/31/1998

Effective Date

12/31/1998

Expiration Date

03/31/2004

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005