MELISSA JEAN HEIDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128814

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

JEAN

Last Name

HEIDEN

Business Name

MELISSA JEAN HEIDEN

Original Issue Date

12/30/1999

Effective Date

12/30/1999

Expiration Date

03/31/2001

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/21/2005