ALLISON R VANDER HEYDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195188

License Status

NOT RENEWED

Business

First Name

ALLISON

Middle

Last Name

VANDER HEYDEN

Prefix

Business Name

ALLISON R VANDER HEYDEN

Original Issue Date

11/06/2009

Effective Date

11/06/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010