SPENCER R BAUMGART Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201800

License Status

NOT RENEWED

Business

First Name

SPENCER

Middle

Last Name

BAUMGART

Prefix

Business Name

SPENCER R BAUMGART

Original Issue Date

12/04/2010

Effective Date

12/04/2010

Expiration Date

03/31/2011

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/12/2011