HAILEY THERESA RAFFA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201220

License Status

NOT RENEWED

Business

First Name

HAILEY

Middle

THERESA

Last Name

RAFFA

Business Name

HAILEY THERESA RAFFA

Original Issue Date

10/25/2010

Effective Date

03/03/2014

Expiration Date

03/31/2015

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015