BROOKE J BAUMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145298

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

Last Name

BAUMA

Business Name

BROOKE J BAUMA

Original Issue Date

10/15/2002

Effective Date

10/15/2002

Expiration Date

03/31/2005

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005