KELLY JEAN HAYNES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156543

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

JEAN

Last Name

HAYNES

Business Name

KELLY JEAN HAYNES

Original Issue Date

08/11/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

RIVERWOODS

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009