LAURA A BASEHOAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109055

License Status

NOT RENEWED

Business

First Name

LAURA A

Last Name

BASEHOAR

Business Name

LAURA A BASEHOAR

Original Issue Date

12/13/1994

Effective Date

12/13/1994

Expiration Date

03/31/1997

City

PRINCEVILLE

State

Zip

61559

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005