DALE L BAYLESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076964

License Status

NOT RENEWED

Business

First Name

DALE L

Last Name

BAYLESS

Business Name

DALE L BAYLESS

Original Issue Date

09/02/1982

Effective Date

09/02/1982

Expiration Date

03/31/1988

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/17/2005