HEATHER A RAETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153325

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

RAETZ

Business Name

HEATHER A RAETZ

Original Issue Date

02/25/2004

Effective Date

02/25/2004

Expiration Date

03/31/2005

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/20/2005