HALEY STIVERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232215

License Status

NOT RENEWED

Business

First Name

HALEY

Last Name

STIVERSON

Prefix

Business Name

HALEY STIVERSON

Original Issue Date

04/07/2015

Effective Date

03/27/2017

Expiration Date

03/31/2018

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

06/19/2018