DIANE MARIE BAKER - Pharmacist License in Illinois | # 049069961

DIANE MARIE BAKER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069961

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005