STEPHANIE K HAVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193984

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

HAVENS

Business Name

STEPHANIE K HAVENS

Original Issue Date

09/01/2009

Effective Date

09/01/2009

Expiration Date

03/31/2010

City

PRAIRIE CITY

State

Zip

61470

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/04/2010