VICKI LYNNE HAYNAM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289844

License Status

INACTIVE

Business

First Name

VICKI

Middle

LYNNE

Last Name

HAYNAM

Business Name

VICKI LYNNE HAYNAM

Original Issue Date

02/23/2004

Effective Date

02/19/2016

Expiration Date

03/31/2018

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/12/2018