BRENT A BAUM - Pharmacist License in Illinois | # 049206564

BRENT A BAUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206564

License Status

NOT RENEWED

Business

N

First Name

BRENT

Middle

A

Last Name

BAUM

Prefix

MR

Business Name

BRENT A BAUM

Original Issue Date

09/09/2011

Effective Date

02/19/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014