MARY E HAINES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061881

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

HAINES

Business Name

MARY E HAINES

Original Issue Date

07/12/1974

Effective Date

07/12/1974

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005