JACQUELYN KAY BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102942

License Status

NOT RENEWED

Business

First Name

JACQUELYN KAY

Last Name

BAKER

Business Name

JACQUELYN KAY BAKER

Original Issue Date

04/01/1993

Effective Date

04/01/1993

Expiration Date

03/31/1994

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005