AMANDA J BAUGHMAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206031

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

BAUGHMAN

Prefix

Business Name

AMANDA J BAUGHMAN

Original Issue Date

08/16/2011

Effective Date

04/09/2014

Expiration Date

03/31/2015

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/06/2015