ANGELA MARIE BAUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137511

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

MARIE

Last Name

BAUM

Business Name

ANGELA MARIE BAUM

Original Issue Date

08/07/2001

Effective Date

07/06/2007

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008