TRACY BAELUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237467

License Status

NOT RENEWED

Business

First Name

TRACY

Last Name

BAELUM

Prefix

Business Name

TRACY BAELUM

Original Issue Date

11/05/2015

Effective Date

03/07/2016

Expiration Date

03/31/2017

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/10/2017