DIANA LYNNE BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069278

License Status

NOT RENEWED

Business

First Name

DIANA LYNNE

Last Name

BAKER

Business Name

DIANA LYNNE BAKER

Original Issue Date

05/05/1978

Effective Date

05/05/1978

Expiration Date

03/31/1997

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

10/17/2005