HEATHER ANN COLVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142758

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

ANN

Last Name

COLVIN

Business Name

HEATHER ANN COLVIN

Original Issue Date

05/30/2002

Effective Date

05/30/2002

Expiration Date

03/31/2003

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005