MADISON LEA HACKSTADT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049285361

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

LEA

Last Name

HACKSTADT

Business Name

MADISON LEA HACKSTADT

Original Issue Date

09/09/2021

Effective Date

09/09/2021

Expiration Date

05/31/2022

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

07/27/2022