ELLIJAH DALE LEE BAHDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049289029

License Status

NOT RENEWED

Business

First Name

ELLIJAH

Middle

DALE LEE

Last Name

BAHDE

Business Name

ELLIJAH DALE LEE BAHDE

Original Issue Date

12/22/2021

Effective Date

03/31/2023

Expiration Date

03/31/2024

City

EFFINGHAM

State

Zip

62401

Ever Disciplined

LastModifiedDate

01/03/2025