BRENT A BAUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206564

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

BAUM

Prefix

Business Name

BRENT A BAUM

Original Issue Date

09/09/2011

Effective Date

02/19/2013

Expiration Date

03/31/2014

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2014