BAILEE OLIVIA VANANTWERP - Pharmacist License in New Mexico | # 049220173

BAILEE OLIVIA VANANTWERP

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220173

License Status

NOT RENEWED

Business

N

First Name

BAILEE

Middle

OLIVIA

Last Name

VANANTWERP

Business Name

BAILEE OLIVIA VANANTWERP

Original Issue Date

08/21/2013

Effective Date

02/23/2015

Expiration Date

03/31/2016

State

NM

Ever Disciplined

N

LastModifiedDate

05/20/2016