TERESA HAAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105519

License Status

NOT RENEWED

Business

First Name

TERESA

Last Name

HAAKE

Business Name

TERESA HAAKE

Original Issue Date

12/13/1993

Effective Date

12/13/1993

Expiration Date

03/31/1998

City

CENTRALIA

State

Zip

62801

Ever Disciplined

LastModifiedDate

10/17/2005