PHILIP JOHN BAE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155193

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

JOHN

Last Name

BAE

Business Name

PHILIP JOHN BAE

Original Issue Date

06/16/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2009