HEATHER LAUREN FITZGERALD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139064

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

LAUREN

Last Name

FITZGERALD

Business Name

HEATHER LAUREN FITZGERALD

Original Issue Date

11/06/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007