RAVENNA LEIGH BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053142

License Status

NOT RENEWED

Business

First Name

RAVENNA LEIGH

Last Name

BAKER

Business Name

RAVENNA LEIGH BAKER

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005