DOUGLASS L DEHAVEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242635

License Status

NOT RENEWED

Business

First Name

DOUGLASS

Middle

Last Name

DEHAVEN

Prefix

Business Name

DOUGLASS L DEHAVEN

Original Issue Date

06/23/2016

Effective Date

03/23/2023

Expiration Date

03/31/2024

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/03/2025