HALLEY S HUSTEDDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158206

License Status

NOT RENEWED

Business

First Name

HALLEY

Middle

Last Name

HUSTEDDE

Business Name

HALLEY S HUSTEDDE

Original Issue Date

12/07/2004

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

LOAMI

State

Zip

62661

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/12/2011