HEATHER ELLYN FIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155284

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

ELLYN

Last Name

FIELDS

Business Name

HEATHER ELLYN FIELDS

Original Issue Date

06/16/2004

Effective Date

03/30/2009

Expiration Date

03/31/2010

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010