HEIDE JEAN NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124701

License Status

NOT RENEWED

Business

First Name

HEIDE

Middle

JEAN

Last Name

NELSON

Business Name

HEIDE JEAN NELSON

Original Issue Date

02/16/1999

Effective Date

02/16/1999

Expiration Date

03/31/2002

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

12/06/2005