LAUREN MICHELLE BAULOS - Pharmacist License in Illinois | # 049143257

LAUREN MICHELLE BAULOS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143257

License Status

NOT RENEWED

Business

N

First Name

LAUREN

Middle

MICHELLE

Last Name

BAULOS

Business Name

LAUREN MICHELLE BAULOS

Original Issue Date

06/17/2002

Effective Date

06/17/2002

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005