ANTOINETTE VERONIQUE BASKIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141004

License Status

NOT RENEWED

Business

First Name

ANTOINETTE

Middle

VERONIQUE

Last Name

BASKIN

Business Name

ANTOINETTE VERONIQUE BASKIN

Original Issue Date

02/25/2002

Effective Date

02/17/2016

Expiration Date

03/31/2017

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017