TERESA DAWN HAFERKAMP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132155

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

DAWN

Last Name

HAFERKAMP

Business Name

TERESA DAWN HAFERKAMP

Original Issue Date

08/15/2000

Effective Date

08/15/2000

Expiration Date

03/31/2002

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

12/06/2005