DOUGLASS L DEHAVEN - Pharmacist License in Illinois | # 049242635

DOUGLASS L DEHAVEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242635

License Status

NOT RENEWED

Business

N

First Name

DOUGLASS

Middle

L

Last Name

DEHAVEN

Prefix

MR

Business Name

DOUGLASS L DEHAVEN

Original Issue Date

06/23/2016

Effective Date

03/23/2023

Expiration Date

03/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

01/03/2025