TODD ALAN BAUSMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074615

License Status

NOT RENEWED

Business

First Name

TODD ALAN

Last Name

BAUSMAN

Business Name

TODD ALAN BAUSMAN

Original Issue Date

05/08/1981

Effective Date

05/08/1981

Expiration Date

03/31/1984

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2005