BRADLEY D HEIKEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168910

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

Last Name

HEIKEN

Business Name

BRADLEY D HEIKEN

Original Issue Date

05/24/2006

Effective Date

02/10/2011

Expiration Date

03/31/2012

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/07/2012