JERRY WAYNE BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054715

License Status

NOT RENEWED

Business

First Name

JERRY WAYNE

Last Name

BAKER

Business Name

JERRY WAYNE BAKER

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

OBLONG

State

Zip

62449

County

CRAWFORD

Ever Disciplined

LastModifiedDate

10/17/2005