VERONICA L BAZAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185076

License Status

NOT RENEWED

Business

First Name

VERONICA

Middle

Last Name

BAZAN

Business Name

VERONICA L BAZAN

Original Issue Date

06/19/2008

Effective Date

06/19/2008

Expiration Date

03/31/2009

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2009