ANNETTE L HOLMAN-BAXSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163178

License Status

NOT RENEWED

Business

First Name

ANNETTE

Middle

Last Name

HOLMAN-BAXSTROM

Business Name

ANNETTE L HOLMAN-BAXSTROM

Original Issue Date

08/23/2005

Effective Date

03/25/2019

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/08/2021