HALEY L CLAYCOMB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203251

License Status

NOT RENEWED

Business

First Name

HALEY

Middle

Last Name

CLAYCOMB

Business Name

HALEY L CLAYCOMB

Original Issue Date

03/21/2011

Effective Date

03/15/2021

Expiration Date

05/31/2022

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2022