EVAN BLAKE BAUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166262

License Status

NOT RENEWED

Business

First Name

EVAN

Middle

BLAKE

Last Name

BAUSE

Business Name

EVAN BLAKE BAUSE

Original Issue Date

01/24/2006

Effective Date

01/16/2014

Expiration Date

03/31/2015

City

CLEVELAND

State

Zip

44143

County

OHIO

Ever Disciplined

LastModifiedDate

05/11/2015