MATTHEW ROBERT BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100246

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ROBERT

Last Name

BAKER

Business Name

MATTHEW ROBERT BAKER

Original Issue Date

06/02/1992

Effective Date

06/02/1992

Expiration Date

03/31/1993

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

10/17/2005