SHOSHANNA LEAH BAUER - Pharmacist License in Illinois | # 049152759

SHOSHANNA LEAH BAUER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152759

License Status

NOT RENEWED

Business

N

First Name

SHOSHANNA

Middle

LEAH

Last Name

BAUER

Business Name

SHOSHANNA LEAH BAUER

Original Issue Date

01/02/2004

Effective Date

01/02/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005