HEATHER ROSE NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146186

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

ROSE

Last Name

NELSON

Business Name

HEATHER ROSE NELSON

Original Issue Date

12/03/2002

Effective Date

12/03/2002

Expiration Date

03/31/2005

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005