ANDREA NICHOLE BAILEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164424

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

NICHOLE

Last Name

BAILEY

Business Name

ANDREA NICHOLE BAILEY

Original Issue Date

10/06/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

AUBURN

State

Zip

62615

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007