RAVEN LAVERN HAAG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274872

License Status

NOT RENEWED

Business

First Name

RAVEN

Middle

LAVERN

Last Name

HAAG

Business Name

RAVEN LAVERN HAAG

Original Issue Date

08/06/2020

Effective Date

08/06/2020

Expiration Date

03/31/2021

City

CRESTWOOD

State

Zip

40014

Ever Disciplined

LastModifiedDate

07/20/2021