MADISON PAULINE BAUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265077

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

PAULINE

Last Name

BAUM

Business Name

MADISON PAULINE BAUM

Original Issue Date

05/03/2019

Effective Date

05/03/2019

Expiration Date

09/30/2020

City

RUMA

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

01/08/2021