DEJA BAINES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255049

License Status

NOT RENEWED

Business

First Name

DEJA

Last Name

BAINES

Business Name

DEJA BAINES

Original Issue Date

12/18/2017

Effective Date

04/03/2019

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/08/2021