LEE D VAN HEUKELEM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216896

License Status

NOT RENEWED

Business

First Name

LEE

Middle

Last Name

VAN HEUKELEM

Business Name

LEE D VAN HEUKELEM

Original Issue Date

03/28/2013

Effective Date

03/03/2014

Expiration Date

03/31/2015

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015