JENNIFER DAWN HASELHORST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157149

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

DAWN

Last Name

HASELHORST

Business Name

JENNIFER DAWN HASELHORST

Original Issue Date

09/08/2004

Effective Date

09/08/2004

Expiration Date

03/31/2006

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006