HEATHER M BRUZEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157779

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

BRUZEK

Business Name

HEATHER M BRUZEK

Original Issue Date

11/09/2004

Effective Date

11/09/2004

Expiration Date

03/31/2005

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005