RAVEN LAVERN HAAG - Pharmacist License in Kentucky | # 049274872

RAVEN LAVERN HAAG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274872

License Status

NOT RENEWED

Business

N

First Name

RAVEN

Middle

LAVERN

Last Name

HAAG

Business Name

RAVEN LAVERN HAAG

Original Issue Date

08/06/2020

Effective Date

08/06/2020

Expiration Date

03/31/2021

State

KY

Ever Disciplined

N

LastModifiedDate

07/20/2021