TOM J BAEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115074

License Status

NOT RENEWED

Business

First Name

TOM J

Last Name

BAEK

Business Name

TOM J BAEK

Original Issue Date

08/29/1996

Effective Date

08/29/1996

Expiration Date

03/31/1997

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005