DIANE HAVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059770

License Status

NOT RENEWED

Business

First Name

DIANE

Last Name

HAVENS

Business Name

DIANE HAVENS

Original Issue Date

06/22/1973

Effective Date

06/22/1973

Expiration Date

03/31/1992

City

BUSHNELL

State

Zip

61422

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/17/2005