ETHELWYN HAYNES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115262

License Status

NOT RENEWED

Business

First Name

ETHELWYN

Last Name

HAYNES

Business Name

ETHELWYN HAYNES

Original Issue Date

09/16/1996

Effective Date

09/16/1996

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005