HEIDI D PHELPS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211189

License Status

INACTIVE

Business

First Name

HEIDI

Middle

Last Name

PHELPS

Business Name

HEIDI D PHELPS

Original Issue Date

05/21/2012

Effective Date

02/28/2013

Expiration Date

03/31/2014

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/09/2014