MATTHEW K HEID Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154556

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

HEID

Business Name

MATTHEW K HEID

Original Issue Date

05/24/2004

Effective Date

05/24/2004

Expiration Date

03/31/2006

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/11/2006