RICHARD D BAISA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096051

License Status

NOT RENEWED

Business

First Name

RICHARD D

Last Name

BAISA

Business Name

RICHARD D BAISA

Original Issue Date

03/05/1991

Effective Date

03/05/1991

Expiration Date

03/31/1997

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005