JERED B BAUER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104166

License Status

NOT RENEWED

Business

First Name

JERED

Middle

Last Name

BAUER

Business Name

JERED B BAUER

Original Issue Date

08/02/1993

Effective Date

08/02/1993

Expiration Date

03/31/1998

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/17/2005