KELLY DIANE HANEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267298

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

DIANE

Last Name

HANEY

Business Name

KELLY DIANE HANEY

Original Issue Date

08/06/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

SCOTT AIR FORCE BASE

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/20/2021