HEATHER E TIEBOUT - Pharmacist License in Illinois | # 049179687

HEATHER E TIEBOUT

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179687

License Status

INACTIVE

Business

N

First Name

HEATHER

Middle

E

Last Name

TIEBOUT

Business Name

HEATHER E TIEBOUT

BusinessDBA

LOGAN

Original Issue Date

10/02/2007

Effective Date

10/02/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2008