REBEKAH ELIZABETH HAGENE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140515

License Status

NOT RENEWED

Business

First Name

REBEKAH

Middle

ELIZABETH

Last Name

HAGENE

Business Name

REBEKAH ELIZABETH HAGENE

Original Issue Date

02/05/2002

Effective Date

02/05/2002

Expiration Date

03/31/2004

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

10/20/2005