KEITH E BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079576

License Status

NOT RENEWED

Business

First Name

KEITH E

Last Name

BAKER

Business Name

KEITH E BAKER

Original Issue Date

03/13/1984

Effective Date

03/13/1984

Expiration Date

03/31/1987

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005