DEBRA A HAWK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152726

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

Last Name

HAWK

Business Name

DEBRA A HAWK

Original Issue Date

12/24/2003

Effective Date

12/24/2003

Expiration Date

03/31/2006

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2006