HEATHER LANE CARPENTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153963

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

LANE

Last Name

CARPENTER

Business Name

HEATHER LANE CARPENTER

Original Issue Date

04/07/2004

Effective Date

04/07/2004

Expiration Date

03/31/2005

City

FLAT ROCK

State

Zip

62427

County

CRAWFORD

Ever Disciplined

LastModifiedDate

10/20/2005