MARTIN BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065969

License Status

NOT RENEWED

Business

First Name

MARTIN

Last Name

BAKER

Business Name

MARTIN BAKER

Original Issue Date

08/27/1976

Effective Date

08/27/1976

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005