DIANE MARIE BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069961

License Status

NOT RENEWED

Business

First Name

DIANE MARIE

Last Name

BAKER

Business Name

DIANE MARIE BAKER

Original Issue Date

08/25/1978

Effective Date

08/25/1978

Expiration Date

01/01/1997

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005