KEITH B BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099285

License Status

NOT RENEWED

Business

First Name

KEITH B

Last Name

BAKER

Business Name

KEITH B BAKER

Original Issue Date

02/04/1992

Effective Date

02/04/1992

Expiration Date

03/31/1993

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005