LANDON A BAINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096456

License Status

NOT RENEWED

Business

First Name

LANDON A

Last Name

BAINE

Business Name

LANDON A BAINE

Original Issue Date

04/05/1991

Effective Date

04/05/1991

Expiration Date

03/31/1992

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005