LOUISE DENISE K BAUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066513

License Status

NOT RENEWED

Business

First Name

LOUISE DENISE K

Last Name

BAUM

Business Name

LOUISE DENISE K BAUM

Original Issue Date

12/10/1976

Effective Date

12/10/1976

Expiration Date

03/31/1986

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

10/17/2005