HEATHER ASHLEY VAN PELT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254067

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

ASHLEY

Last Name

VAN PELT

Business Name

HEATHER ASHLEY VAN PELT

Original Issue Date

11/01/2017

Effective Date

11/01/2017

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018