SAMATHA C BAUER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173467

License Status

NOT RENEWED

Business

First Name

SAMATHA

Middle

Last Name

BAUER

Business Name

SAMATHA C BAUER

Original Issue Date

01/05/2007

Effective Date

01/05/2007

Expiration Date

03/31/2008

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

05/02/2008