MELISSA S BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289819

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

BAKER

Business Name

MELISSA S BAKER

Original Issue Date

01/21/2004

Effective Date

01/21/2004

Expiration Date

03/31/2006

City

URBANDALE

State

Zip

50323

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/11/2006