HALEY DREAM HODGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222979

License Status

NOT RENEWED

Business

First Name

HALEY

Middle

DREAM

Last Name

HODGE

Business Name

HALEY DREAM HODGE

Original Issue Date

01/17/2014

Effective Date

01/17/2014

Expiration Date

03/31/2015

City

HAMPTON

State

Zip

61256

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/11/2015