JOSHUA P HAVRILKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140696

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

Last Name

HAVRILKA

Business Name

JOSHUA P HAVRILKA

Original Issue Date

02/15/2002

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/02/2008