TRALISA HASKELL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101666

License Status

INACTIVE

Business

First Name

TRALISA

Last Name

HASKELL

Business Name

TRALISA HASKELL

Original Issue Date

11/10/1992

Effective Date

02/14/2012

Expiration Date

03/31/2013

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2013