MARQUITIS ALLEN BALDWIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153488

License Status

NOT RENEWED

Business

First Name

MARQUITIS

Middle

ALLEN

Last Name

BALDWIN

Business Name

MARQUITIS ALLEN BALDWIN

Original Issue Date

03/08/2004

Effective Date

03/21/2013

Expiration Date

03/31/2014

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/06/2014