AMIE JEAN BAUER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165813

License Status

NOT RENEWED

Business

First Name

AMIE

Middle

JEAN

Last Name

BAUER

Business Name

AMIE JEAN BAUER

Original Issue Date

12/27/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/14/2007