NICOLE DIANA HEYDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125112

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

DIANA

Last Name

HEYDT

Business Name

NICOLE DIANA HEYDT

Original Issue Date

03/24/1999

Effective Date

03/24/1999

Expiration Date

03/31/2006

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006