NINA M BAUMGART Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152287

License Status

NOT RENEWED

Business

First Name

NINA

Middle

Last Name

BAUMGART

Business Name

NINA M BAUMGART

Original Issue Date

12/02/2003

Effective Date

12/02/2003

Expiration Date

03/31/2005

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

10/20/2005