HEATHER MICELLE OSBORN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143158

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

MICELLE

Last Name

OSBORN

Business Name

HEATHER MICELLE OSBORN

Original Issue Date

06/13/2002

Effective Date

06/13/2002

Expiration Date

03/31/2003

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005