JERRY WAYNE BAKER - Pharmacist License in Illinois | # 049054715

JERRY WAYNE BAKER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054715

License Status

NOT RENEWED

Business

N

First Name

JERRY WAYNE

Last Name

BAKER

Business Name

JERRY WAYNE BAKER

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005