DIANE E BAUMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195290

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

BAUMANN

Business Name

DIANE E BAUMANN

Original Issue Date

11/12/2009

Effective Date

11/12/2009

Expiration Date

03/31/2010

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

05/04/2010