PHILLIP WAYNE HAAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051041235

License Status

INACTIVE

Business

First Name

PHILLIP WAYNE

Last Name

HAAN

Business Name

PHILLIP WAYNE HAAN

Original Issue Date

12/17/1996

Effective Date

12/17/1996

Expiration Date

03/31/2000

City

ELDRIDGE

State

Zip

52748

County

IOWA

Ever Disciplined

LastModifiedDate

12/06/2005