WAYNE D BAUMA Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074614

License Status

CANCELLED

Business

First Name

WAYNE D

Last Name

BAUMA

Business Name

WAYNE D BAUMA

Original Issue Date

05/08/1981

Effective Date

05/08/1981

Expiration Date

03/31/1984

City

ROMEOVILLE

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005