PAUL G BAUM Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057101

License Status

CANCELLED

Business

First Name

PAUL G

Last Name

BAUM

Business Name

PAUL G BAUM

Original Issue Date

11/30/1971

Effective Date

11/30/1971

Expiration Date

01/01/1997

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005