PAIGE L BAXA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214662

License Status

NOT RENEWED

Business

First Name

PAIGE

Middle

Last Name

BAXA

Prefix

Business Name

PAIGE L BAXA

Original Issue Date

11/21/2012

Effective Date

02/27/2013

Expiration Date

03/31/2014

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2014