MICHAEL W HEIDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190762

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

HEIDEN

Business Name

MICHAEL W HEIDEN

Original Issue Date

04/07/2009

Effective Date

03/12/2012

Expiration Date

03/31/2013

City

SOMONAUK

State

Zip

60552

County

DEKALB

Ever Disciplined

LastModifiedDate

05/06/2013