STEPHANIE LYN HEITZMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134616

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

LYN

Last Name

HEITZMAN

Business Name

STEPHANIE LYN HEITZMAN

Original Issue Date

02/21/2001

Effective Date

10/04/2012

Expiration Date

03/31/2013

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

05/06/2013