TINA M STAVEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222224

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

STAVEN

Business Name

TINA M STAVEN

Original Issue Date

11/26/2013

Effective Date

02/05/2015

Expiration Date

03/31/2016

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/20/2016