JACKIE L BAUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025553

License Status

NOT RENEWED

Business

First Name

JACKIE L

Last Name

BAUGH

Business Name

JACKIE L BAUGH

Original Issue Date

01/01/1997

Effective Date

03/01/2010

Expiration Date

03/31/2012

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/07/2012