MICHAEL JOHN HEISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125252

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JOHN

Last Name

HEISE

Business Name

MICHAEL JOHN HEISE

Original Issue Date

04/02/1999

Effective Date

04/02/1999

Expiration Date

03/31/2000

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005