ALEXIS J HAISTINGSHULL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207074

License Status

NOT RENEWED

Business

First Name

ALEXIS

Middle

Last Name

HAISTINGSHULL

Prefix

Business Name

ALEXIS J HAISTINGSHULL

Original Issue Date

10/03/2011

Effective Date

10/03/2011

Expiration Date

03/31/2012

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/07/2012