HAZEL MARIE HERR PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049047640

License Status

NOT RENEWED

Business

First Name

HAZEL MARIE HERR

Last Name

PAYNE

Business Name

HAZEL MARIE HERR PAYNE

Original Issue Date

01/01/1997

Expiration Date

03/31/1986

City

ROXANA

State

Zip

62084

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005