BARRY A HAIST Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028053

License Status

INACTIVE

Business

First Name

BARRY A

Last Name

HAIST

Business Name

BARRY A HAIST

Original Issue Date

01/01/1997

Effective Date

02/02/2016

Expiration Date

03/31/2018

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

01/12/2018