HEATHER MICHELLE MADER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135727

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

MICHELLE

Last Name

MADER

Business Name

HEATHER MICHELLE MADER

Original Issue Date

04/09/2001

Effective Date

04/09/2001

Expiration Date

03/31/2005

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005