CAROLYN R BAST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183751

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

BAST

Business Name

CAROLYN R BAST

Original Issue Date

04/21/2008

Effective Date

04/21/2008

Expiration Date

03/31/2009

City

SAPPINGTON

State

Zip

63126

Ever Disciplined

LastModifiedDate

05/06/2009