ERNEST DEAN HAAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154474

License Status

NOT RENEWED

Business

First Name

ERNEST

Middle

DEAN

Last Name

HAAGE

Business Name

ERNEST DEAN HAAGE

Original Issue Date

05/21/2004

Effective Date

01/22/2014

Expiration Date

03/31/2015

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/11/2015