GENE RUSSELL BALDWIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026512

License Status

NOT RENEWED

Business

First Name

GENE RUSSELL

Last Name

BALDWIN

Business Name

GENE RUSSELL BALDWIN

Original Issue Date

01/01/1997

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021