JERRY L BAUMAN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060594

License Status

CANCELLED

Business

First Name

JERRY L

Last Name

BAUMAN

Business Name

JERRY L BAUMAN

Original Issue Date

11/16/1973

Effective Date

11/16/1973

Expiration Date

01/01/1997

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005