HEATHER E MODER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132954

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

MODER

Business Name

HEATHER E MODER

Original Issue Date

10/03/2000

Effective Date

10/03/2000

Expiration Date

03/31/2004

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005