LEONARD T HEISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220933

License Status

NOT RENEWED

Business

First Name

LEONARD

Middle

Last Name

HEISE

Prefix

Business Name

LEONARD T HEISE

Original Issue Date

09/18/2013

Effective Date

09/18/2013

Expiration Date

03/31/2014

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2014