PAIGE D BAKKUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242784

License Status

NOT RENEWED

Business

First Name

PAIGE

Middle

Last Name

BAKKUM

Business Name

PAIGE D BAKKUM

Original Issue Date

06/28/2016

Effective Date

02/20/2018

Expiration Date

03/31/2019

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/15/2019