LESLIE A BAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104123

License Status

NOT RENEWED

Business

First Name

LESLIE A

Last Name

BAKER

Business Name

LESLIE A BAKER

Original Issue Date

07/29/1993

Effective Date

07/29/1993

Expiration Date

03/31/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005