EDNA HAVLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070107

License Status

NOT RENEWED

Business

First Name

EDNA

Last Name

HAVLEN

Business Name

EDNA HAVLEN

Original Issue Date

09/22/1978

Effective Date

09/22/1978

Expiration Date

03/31/1996

City

DONGOLA

State

Zip

62926

County

UNION

Ever Disciplined

LastModifiedDate

10/17/2005