EDWARD A HAGENBAUMER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106319

License Status

NOT RENEWED

Business

First Name

EDWARD A

Last Name

HAGENBAUMER

Business Name

EDWARD A HAGENBAUMER

Original Issue Date

03/21/1994

Effective Date

03/21/1994

Expiration Date

03/31/1995

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005