COURTNEY DWAYNE HALLIBURTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140262

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

DWAYNE

Last Name

HALLIBURTON

Business Name

COURTNEY DWAYNE HALLIBURTON

Original Issue Date

01/18/2002

Effective Date

01/18/2002

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005