TONJA NICOLE BAUMGARDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127543

License Status

NOT RENEWED

Business

First Name

TONJA

Middle

NICOLE

Last Name

BAUMGARDEN

Business Name

TONJA NICOLE BAUMGARDEN

Original Issue Date

09/21/1999

Effective Date

09/21/1999

Expiration Date

03/31/2005

City

DE SOTO

State

Zip

62924

County

JACKSON

Ever Disciplined

LastModifiedDate

10/20/2005