DEIRDRE ELIZABETH BAXA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136380

License Status

NOT RENEWED

Business

First Name

DEIRDRE

Middle

ELIZABETH

Last Name

BAXA

Business Name

DEIRDRE ELIZABETH BAXA

Original Issue Date

05/21/2001

Effective Date

05/21/2001

Expiration Date

03/31/2003

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005