BAILEY L VARDSVEEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161324

License Status

NOT RENEWED

Business

First Name

BAILEY

Middle

Last Name

VARDSVEEN

Business Name

BAILEY L VARDSVEEN

Original Issue Date

05/25/2005

Effective Date

03/04/2010

Expiration Date

03/31/2011

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

05/12/2011