REBECCA MARY BAXA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120743

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

MARY

Last Name

BAXA

Business Name

REBECCA MARY BAXA

Original Issue Date

04/23/1998

Effective Date

03/15/2010

Expiration Date

03/31/2011

City

SAINT CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

05/12/2011