BROOKE J BAUMA - Pharmacist License in Illinois | # 049145298

BROOKE J BAUMA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145298

License Status

NOT RENEWED

Business

N

First Name

BROOKE

Middle

J

Last Name

BAUMA

Business Name

BROOKE J BAUMA

Original Issue Date

10/15/2002

Effective Date

10/15/2002

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005