HEATHER D SHIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137969

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

SHIELDS

Business Name

HEATHER D SHIELDS

Original Issue Date

09/10/2001

Effective Date

09/10/2001

Expiration Date

03/31/2002

City

PARK CITY

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005