TIA L HEFFNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165465

License Status

NOT RENEWED

Business

First Name

TIA

Middle

Last Name

HEFFNER

Business Name

TIA L HEFFNER

Original Issue Date

12/08/2005

Effective Date

12/08/2005

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006