JACOB A BAUMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209950

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

BAUMAN

Business Name

JACOB A BAUMAN

Original Issue Date

03/27/2012

Effective Date

01/22/2015

Expiration Date

03/31/2016

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/20/2016