CARLA M BAIZE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091412

License Status

NOT RENEWED

Business

First Name

CARLA M

Last Name

BAIZE

Business Name

CARLA M BAIZE

Original Issue Date

10/11/1989

Effective Date

10/11/1989

Expiration Date

03/31/1992

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005