SHANNON HEINZE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239395

License Status

NOT RENEWED

Business

First Name

SHANNON

Last Name

HEINZE

Prefix

Business Name

SHANNON HEINZE

Original Issue Date

02/05/2016

Effective Date

02/05/2016

Expiration Date

03/31/2017

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/10/2017