MARY JANE BAINES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070647

License Status

NOT RENEWED

Business

First Name

MARY JANE

Last Name

BAINES

Business Name

MARY JANE BAINES

Original Issue Date

02/09/1979

Effective Date

02/09/1979

Expiration Date

03/31/1986

City

VIRDEN

State

Zip

62690

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/17/2005