DANTAYNE TERRELL HAYNES - Pharmacist License in Illinois | # 049191938

DANTAYNE TERRELL HAYNES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191938

License Status

NOT RENEWED

Business

N

First Name

DANTAYNE

Middle

TERRELL

Last Name

HAYNES

Business Name

DANTAYNE TERRELL HAYNES

Original Issue Date

05/27/2009

Effective Date

05/27/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010