JEFF A HAVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089075

License Status

NOT RENEWED

Business

First Name

JEFF A

Last Name

HAVENS

Business Name

JEFF A HAVENS

Original Issue Date

02/24/1989

Effective Date

02/24/1989

Expiration Date

03/31/1990

City

LEWISTOWN

State

Zip

61542

County

FULTON

Ever Disciplined

LastModifiedDate

10/17/2005