ANAYA S BAEZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182489

License Status

NOT RENEWED

Business

First Name

ANAYA

Middle

Last Name

BAEZA

Business Name

ANAYA S BAEZA

Original Issue Date

02/29/2008

Effective Date

03/12/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2010