DELATWAN ALLAN HAYNES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115151

License Status

NOT RENEWED

Business

First Name

DELATWAN ALLAN

Last Name

HAYNES

Business Name

DELATWAN ALLAN HAYNES

Original Issue Date

09/03/1996

Effective Date

09/03/1996

Expiration Date

03/31/1997

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005