ALISSA DIANE BAERTSCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184309

License Status

NOT RENEWED

Business

First Name

ALISSA

Middle

DIANE

Last Name

BAERTSCH

Business Name

ALISSA DIANE BAERTSCH

Original Issue Date

05/16/2008

Effective Date

03/03/2009

Expiration Date

03/31/2010

City

MODESTO

State

Zip

62667

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/04/2010