LARRY DEAN HAUBROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023314

License Status

NOT RENEWED

Business

First Name

LARRY DEAN

Last Name

HAUBROCK

Business Name

LARRY DEAN HAUBROCK

Original Issue Date

09/01/1955

Effective Date

03/16/2010

Expiration Date

03/31/2012

City

TEMPE

State

Zip

85282

County

ARIZONA

Ever Disciplined

LastModifiedDate

05/07/2012