PAULA ANN HACKSTADT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125940

License Status

NOT RENEWED

Business

First Name

PAULA

Middle

ANN

Last Name

HACKSTADT

Business Name

PAULA ANN HACKSTADT

Original Issue Date

05/18/1999

Effective Date

05/18/1999

Expiration Date

03/31/2000

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005