HEATHER E MODER - Pharmacist License in Illinois | # 049132954

HEATHER E MODER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132954

License Status

NOT RENEWED

Business

N

First Name

HEATHER

Middle

E

Last Name

MODER

Business Name

HEATHER E MODER

Original Issue Date

10/03/2000

Effective Date

10/03/2000

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005