HEAVEN J LUNSFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235891

License Status

NOT RENEWED

Business

First Name

HEAVEN

Middle

Last Name

LUNSFORD

Business Name

HEAVEN J LUNSFORD

Original Issue Date

08/28/2015

Effective Date

01/22/2019

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/08/2021