RADIAH DEVELL HAYNES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143996

License Status

NOT RENEWED

Business

First Name

RADIAH

Middle

DEVELL

Last Name

HAYNES

Business Name

RADIAH DEVELL HAYNES

Original Issue Date

08/02/2002

Effective Date

08/02/2002

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005