AMY ELISABETH HAVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123315

License Status

NOT RENEWED

Business

First Name

AMY

Middle

ELISABETH

Last Name

HAVENS

Business Name

AMY ELISABETH HAVENS

Original Issue Date

10/20/1998

Effective Date

10/20/1998

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005