SCOTT A BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102985

License Status

NOT RENEWED

Business

First Name

SCOTT A

Last Name

BAKER

Business Name

SCOTT A BAKER

Original Issue Date

04/05/1993

Effective Date

04/05/1993

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005