LAUREN ANN BASLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165256

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

ANN

Last Name

BASLER

Business Name

LAUREN ANN BASLER

Original Issue Date

11/29/2005

Effective Date

11/29/2005

Expiration Date

03/31/2006

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/11/2006