HALEY CRISTINE INTRAVAIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237714

License Status

NOT RENEWED

Business

First Name

HALEY

Middle

CRISTINE

Last Name

INTRAVAIA

Business Name

HALEY CRISTINE INTRAVAIA

Original Issue Date

11/17/2015

Effective Date

03/15/2017

Expiration Date

03/31/2018

City

DURAND

State

Zip

61024

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018