HAYLEY D BACA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255238

License Status

NOT RENEWED

Business

First Name

HAYLEY

Middle

Last Name

BACA

Business Name

HAYLEY D BACA

Original Issue Date

12/28/2017

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/15/2019