RICHARD STEVEN HEITZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179646

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

STEVEN

Last Name

HEITZ

Business Name

RICHARD STEVEN HEITZ

Original Issue Date

10/01/2007

Effective Date

10/01/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008