MICHAEL D HEAP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162106

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

HEAP

Business Name

MICHAEL D HEAP

Original Issue Date

07/06/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007