HEIDI ANN PELHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138895

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

ANN

Last Name

PELHAM

Business Name

HEIDI ANN PELHAM

Original Issue Date

10/30/2001

Effective Date

10/30/2001

Expiration Date

03/31/2002

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/06/2005