KYLIE E BAUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185207

License Status

NOT RENEWED

Business

First Name

KYLIE

Middle

Last Name

BAUM

Business Name

KYLIE E BAUM

Original Issue Date

06/26/2008

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

07/15/2019