STEPHANIE K HAVENS - Pharmacist License in Illinois | # 049193984

STEPHANIE K HAVENS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193984

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

K

Last Name

HAVENS

Business Name

STEPHANIE K HAVENS

Original Issue Date

09/01/2009

Effective Date

09/01/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010