HEIDI JO CLAEYSSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188062

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

Last Name

CLAEYSSEN

Business Name

HEIDI JO CLAEYSSEN

Original Issue Date

10/29/2008

Effective Date

02/20/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015