HAVEN RENA TAYLOR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146315

License Status

NOT RENEWED

Business

First Name

HAVEN

Middle

RENA

Last Name

TAYLOR

Business Name

HAVEN RENA TAYLOR

Original Issue Date

12/11/2002

Effective Date

08/30/2007

Expiration Date

03/31/2008

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

05/02/2008