MICHELLE M HEIDELBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146319

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

HEIDELBERG

Business Name

MICHELLE M HEIDELBERG

Original Issue Date

12/12/2002

Effective Date

12/12/2002

Expiration Date

03/31/2004

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/20/2005