NICK D BAUMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146957

License Status

NOT RENEWED

Business

First Name

NICK

Middle

Last Name

BAUMA

Business Name

NICK D BAUMA

Original Issue Date

02/07/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

05/14/2007