KELLY M HAINES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121254

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

HAINES

Business Name

KELLY M HAINES

Original Issue Date

06/01/1998

Effective Date

06/01/1998

Expiration Date

03/31/2005

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/20/2005