KEITH J BAICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057631

License Status

NOT RENEWED

Business

First Name

KEITH J

Last Name

BAICH

Business Name

KEITH J BAICH

Original Issue Date

05/02/1972

Effective Date

05/02/1972

Expiration Date

01/01/1997

City

CHICAGO RIDGE

State

Zip

60482

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005