MARK ALLEN HAYWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120487

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALLEN

Last Name

HAYWOOD

Business Name

MARK ALLEN HAYWOOD

Original Issue Date

04/03/1998

Effective Date

04/03/1998

Expiration Date

03/31/2002

City

GRAYVILLE

State

Zip

62844

County

EDWARDS

Ever Disciplined

LastModifiedDate

12/06/2005